Medicaid Provider Spending

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

PROVIDENCE FAMILY MEDICAL CLINIC S.C

NPI: 1861857542 · GLENDALE, WI 53209 · Primary Care Clinic/Center · NPI assigned 12/22/2015

$267K
Total Medicaid Paid
13,084
Total Claims
10,997
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOKUSANYA, ADEDAPO (PRESIDENT)
NPI Enumeration Date12/22/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,941 $23K
2019 2,217 $27K
2020 2,908 $64K
2021 2,808 $62K
2022 2,029 $54K
2023 820 $20K
2024 361 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,395 4,399 $190K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,336 2,053 $54K
80305 963 853 $6K
99000 2,525 2,172 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 144 59 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 26 $2K
94060 77 73 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 122 53 $2K
99490 Ccm add 20min 119 113 $730.50
90686 159 149 $651.78
82962 400 305 $419.21
90756 45 44 $389.37
97163 14 14 $324.58
0012A 22 21 $295.51
0064A 14 12 $231.25
94664 52 49 $178.34
0011A 31 27 $67.76
36415 Collection of venous blood by venipuncture 283 253 $6.03
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 23 22 $0.13
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 13 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 13 $0.00
91301 64 49 $0.00
G0008 Administration of influenza virus vaccine 178 164 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 17 15 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 36 33 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 13 $0.00