Medicaid Provider Spending

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

VICTORY HEALTH SOLUTION LLC

NPI: 1912515305 · MESA, AZ 85204 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 07/21/2020

$15K
Total Medicaid Paid
137
Total Claims
125
Beneficiaries
3
Codes Billed
2022-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialODUTOLA, IBUKUN (OWNER)
NPI Enumeration Date07/21/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 88 $7K
2023 49 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 75 63 $5K
99205 Prolong outpt/office vis 38 38 $5K
90792 Psychiatric diagnostic evaluation with medical services 24 24 $4K