Medicaid Provider Spending

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

PREMIER MOUNTAIN HEALTHCARE LLC

NPI: 1881261857 · SHOW LOW, AZ 85901 · Adult Medicine Physician · NPI assigned 06/08/2021

$391K
Total Medicaid Paid
11,932
Total Claims
11,037
Beneficiaries
12
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, BECKY (PRACTICE ADMINISTRAITOR)
NPI Enumeration Date06/08/2021

Related Entities

Other providers sharing the same authorized official: JOHNSON, BECKY

ProviderCityStateTotal Paid
FOCUS HEALTHCARE OF CALIFORINA, LLC SACRAMENTO CA $0.00
MOMENTUM CLINIC LAKE STEVENS WA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 195 $10K
2022 2,076 $107K
2023 5,128 $155K
2024 4,533 $119K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 4,890 4,564 $279K
99213 2,199 2,073 $101K
99204 104 102 $8K
90460 68 68 $2K
99211 17 17 $253.60
82962 12 12 $16.22
3078F 531 490 $0.00
1160F 1,168 1,048 $0.00
3008F 1,751 1,580 $0.00
3074F 700 645 $0.00
1036F 465 412 $0.00
3079F 27 26 $0.00