Medicaid Provider Spending

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

PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC

NPI: 1851062517 · BROKEN ARROW, OK 74012 · Primary Care Clinic/Center · NPI assigned 09/22/2021

$189K
Total Medicaid Paid
2,497
Total Claims
2,403
Beneficiaries
11
Codes Billed
2022-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETERSON, ASHTON (NURSE PRACTITIONER, OWNER)
NPI Enumeration Date09/22/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 80 $8K
2023 1,285 $99K
2024 1,132 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 956 910 $75K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 613 577 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 228 226 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 117 $17K
36415 Collection of venous blood by venipuncture 486 480 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 28 $3K
99383 17 17 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $220.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 12 $182.24