Medicaid Provider Spending

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

PEDIACLINIC LLC

NPI: 1851866180 · HIGHLANDS RANCH, CO 80126 · Pediatrics Physician · NPI assigned 10/13/2018

$18K
Total Medicaid Paid
1,467
Total Claims
1,163
Beneficiaries
11
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFEITEN, DANIEL (BOARD MEMBER)
NPI Enumeration Date10/13/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 961 $11K
2022 283 $5K
2023 127 $2K
2024 96 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 202 178 $11K
0001A 133 92 $2K
0002A 114 78 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15 14 $1K
0071A 19 18 $926.55
99050 340 276 $823.75
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 88 78 $50.82
99072 178 156 $7.00
99051 79 61 $0.00
91300 278 192 $0.00
91307 21 20 $0.00