Medicaid Provider Spending

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

LEVEL 4 MEDICAL PROFESSIONAL CORPORATION

NPI: 1861706434 · STOCKTON, MO 65785 · Point of Service · NPI assigned 08/05/2010

$99K
Total Medicaid Paid
4,388
Total Claims
3,088
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialSMOCK, DAVID (OWNER)
NPI Enumeration Date08/05/2010

Related Entities

Other providers sharing the same authorized official: SMOCK, DAVID

ProviderCityStateTotal Paid
LEVEL 4 MEDICAL PROFESSIONAL CORPORATION YUMA AZ $208K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,067 $20K
2019 1,510 $24K
2020 928 $29K
2021 883 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,111 1,512 $92K
94760 1,558 1,126 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85 62 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $962.85
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 535 315 $473.85
99406 48 32 $268.23
80305 18 12 $80.64
81002 18 14 $25.02