Medicaid Provider Spending

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

SUPERIOR FAMILY MEDICAL ASSOCIATES

NPI: 1861766065 · SAULT SAINTE MARIE, MI 49783 · Primary Care Clinic/Center · NPI assigned 03/06/2012

$104K
Total Medicaid Paid
1,848
Total Claims
1,712
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialPAHN, JAAK (DIRECTOR)
NPI Enumeration Date03/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,261 $70K
2019 587 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,042 956 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 633 584 $48K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $680.52
99406 32 31 $256.52
90686 19 19 $228.36
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 32 $224.00
G0444 Annual depression screening, 5 to 15 minutes 78 78 $0.00