Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LINE STREET MEDICAL, LLC

NPI: 1821560327 · PHILADELPHIA, MS 39350 · Family Nurse Practitioner · NPI assigned 12/20/2018

$4K
Total Medicaid Paid
186
Total Claims
169
Beneficiaries
4
Codes Billed
2020-10
First Month
2022-09
Last Month

Provider Details

Authorized OfficialPHILLIPS, LEAH (NURSE PRACTITIONER)
NPI Enumeration Date12/20/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 56 $675.28
2021 66 $1K
2022 64 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 111 99 $3K
99201 26 26 $553.48
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 14 $312.47
86580 30 30 $121.80