Medicaid Provider Spending

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

MUSTANG FAMILY PHYSICIANS PC

NPI: 1881891653 · MUSTANG, OK 73064 · Family Medicine Physician · NPI assigned 06/27/2007

$475K
Total Medicaid Paid
5,917
Total Claims
5,593
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAMUNDSEN, GERALD (PRESIDENT)
NPI Enumeration Date06/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,573 $102K
2019 935 $73K
2020 615 $51K
2021 675 $59K
2022 893 $76K
2023 727 $68K
2024 499 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,170 2,947 $308K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,853 1,765 $125K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 200 195 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 63 63 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 56 56 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 231 230 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 87 84 $4K
90472 Immunization administration, each additional vaccine (list separately) 87 87 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 142 138 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 16 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $313.03