Medicaid Provider Spending

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

LAKESIDE FAMILY PRACTICE

NPI: 1831698430 · KENOSHA, WI 53140 · Gerontology Nurse Practitioner · NPI assigned 02/08/2018

$2K
Total Medicaid Paid
73
Total Claims
58
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-04
Last Month

Provider Details

Authorized OfficialHALE, ANTHONY (OWNER)
NPI Enumeration Date02/08/2018

Related Entities

Other providers sharing the same authorized official: HALE, ANTHONY

ProviderCityStateTotal Paid
M.A.B HEALTH SERVICES LLC MILWAUKEE WI $1.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 43 $855.30
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 15 $687.66