Medicaid Provider Spending

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

EARTH SONG MEDICAL PRACTICE LLC

NPI: 1912462144 · SELMA, OR 97538 · Primary Care Clinic/Center · NPI assigned 02/01/2019

$9K
Total Medicaid Paid
2,604
Total Claims
2,142
Beneficiaries
8
Codes Billed
2019-05
First Month
2022-03
Last Month

Provider Details

Authorized OfficialPRUNER, MICHAEL (OWNER/MANAGER)
NPI Enumeration Date02/01/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 480 $4K
2020 899 $2K
2021 1,023 $3K
2022 202 $377.97

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,061 1,660 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 285 251 $1K
90674 46 43 $711.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 58 $632.37
90756 19 16 $305.39
36415 Collection of venous blood by venipuncture 100 89 $140.91
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 13 $33.66
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 12 $0.00