Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PRIMARY CARE OF ADA, LLC
NPI: 1851744312 · ADA, OK 74820 ·
207R00000X
$377K
Total Medicaid Paid
6,167
Total Claims
5,699
Beneficiaries
11
Codes Billed
2018-01
First Month
2022-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,400
$62K
2019
712
$41K
2020
835
$42K
2021
1,236
$84K
2022
1,984
$149K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99213
3,333
3,043
$179K
99214
2,196
2,044
$178K
99203
94
94
$8K
99204
26
26
$3K
87426
55
51
$2K
87880
136
128
$2K
96372
130
120
$2K
99212
36
36
$1K
87804
12
12
$258.88
36415
96
92
$221.19
99490
Ccm add 20min
53
53
$212.55