Medicaid Provider Spending

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

ADELITAS MEDICAL-NWH

NPI: 1912214446 · DALLAS, TX 75203 · Family Medicine Physician · NPI assigned 09/03/2010

$18K
Total Medicaid Paid
1,022
Total Claims
834
Beneficiaries
11
Codes Billed
2018-04
First Month
2021-02
Last Month

Provider Details

Authorized OfficialSALAZAR, ANGEL (OWNER)
NPI Enumeration Date09/03/2010

Related Entities

Other providers sharing the same authorized official: SALAZAR, ANGEL

ProviderCityStateTotal Paid
WHITE ROCK FAMILY HEALTH DALLAS TX $1.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 265 $2K
2019 190 $4K
2020 426 $9K
2021 141 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 555 447 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 195 170 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 26 $522.72
95115 79 38 $516.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $182.77
92552 12 12 $50.52
G0444 Annual depression screening, 5 to 15 minutes 33 31 $0.00
99401 25 25 $0.00
99173 18 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 36 31 $0.00
36415 Collection of venous blood by venipuncture 25 24 $0.00