Medicaid Provider Spending

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

MATTA MEDICAL CLINIC LLC

NPI: 1881174027 · NATCHITOCHES, LA 71457 · Family Medicine Physician · NPI assigned 08/16/2018

$520K
Total Medicaid Paid
17,708
Total Claims
14,070
Beneficiaries
23
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUBBALA, SUJATHA (MANAGER)
NPI Enumeration Date08/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 194 $4K
2019 2,965 $49K
2020 3,918 $73K
2021 3,047 $113K
2022 3,444 $123K
2023 2,567 $103K
2024 1,573 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,442 6,735 $356K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,254 3,224 $108K
99215 Prolong outpt/office vis 333 294 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 400 326 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 198 173 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 45 40 $3K
90674 76 62 $2K
36415 Collection of venous blood by venipuncture 1,102 958 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 30 24 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 125 101 $1K
90686 62 44 $666.05
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 14 $354.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 98 64 $308.32
82962 174 104 $240.30
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20 13 $117.30
J0696 Injection, ceftriaxone sodium, per 250 mg 20 14 $23.75
99000 1,281 1,064 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 146 121 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 13 $0.00
1111F 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 747 591 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 40 36 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 56 43 $0.00