Medicaid Provider Spending

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

PRIMARY CARE OF ADA, LLC

NPI: 1851744312 · ADA, OK 74820 · Internal Medicine Physician · NPI assigned 07/20/2016

$377K
Total Medicaid Paid
6,167
Total Claims
5,699
Beneficiaries
11
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialIVY, RANDI (CREDENTIALING SPECIALIST)
NPI Enumeration Date07/20/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,400 $62K
2019 712 $41K
2020 835 $42K
2021 1,236 $84K
2022 1,984 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,333 3,043 $179K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,196 2,044 $178K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 94 94 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 55 51 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 136 128 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 130 120 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 36 36 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $258.88
36415 Collection of venous blood by venipuncture 96 92 $221.19
99490 Ccm add 20min 53 53 $212.55