Medicaid Provider Spending

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

FAMILY HEALTH CARE OF PRESCOTT VALLEY, INC

NPI: 1841343894 · PRESCOTT VALLEY, AZ 86314 · Primary Care Clinic/Center · NPI assigned 01/20/2007

$36K
Total Medicaid Paid
1,131
Total Claims
986
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialBRIANT, DAVID (PRESIDENT)
NPI Enumeration Date01/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,073 $34K
2019 58 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 454 409 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 525 456 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 36 $576.44
90688 52 41 $389.35
90653 15 12 $31.32
94760 17 13 $3.88
G0008 Administration of influenza virus vaccine 25 19 $0.00