Medicaid Provider Spending

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

NORTHWEST FAMILY PRACTICE LLC

NPI: 1891347415 · GRANTS PASS, OR 97526 · Family Medicine Physician · NPI assigned 07/13/2019

$5K
Total Medicaid Paid
3,175
Total Claims
2,921
Beneficiaries
7
Codes Billed
2019-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILTNER, GAIL (CFNP/OWNER)
NPI Enumeration Date07/13/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 159 $672.49
2020 521 $1K
2021 702 $2K
2022 615 $966.59
2023 658 $493.09
2024 520 $523.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,040 1,872 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 911 855 $1K
90688 29 28 $340.96
99490 Ccm add 20min 158 129 $248.49
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $178.92
96160 12 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00