Medicaid Provider Spending

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

NPI: 1861488694 · ANDREWS, TX 79714 · Family Medicine Physician · NPI assigned 09/27/2005

$680.52
Total Medicaid Paid
546
Total Claims
306
Beneficiary Records
6
Codes Billed
2021-07
First Month
2023-09
Last Month

Provider Details

Authorized OfficialMATTIMOE, GORDON (AUTHORIZED OFFICIAL)
NPI Enumeration Date09/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 93 $0.00
2022 314 $468.84
2023 139 $211.68

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 317 176 $680.52
90461 149 50 $0.00
90715 21 21 $0.00
90734 25 25 $0.00
90696 12 12 $0.00
90651 22 22 $0.00