Medicaid Provider Spending

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

F.G.M.A. ,LLC.

NPI: 1922136480 · OKLAHOMA CITY, OK 73112 · Family Nurse Practitioner · NPI assigned 02/28/2007

$355K
Total Medicaid Paid
5,217
Total Claims
4,825
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGRANDLE, SUSAN (NURSE PRACTITIONER)
NPI Enumeration Date02/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 770 $38K
2019 577 $29K
2020 308 $20K
2021 823 $64K
2022 1,258 $96K
2023 999 $68K
2024 482 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,737 2,482 $207K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,317 1,228 $99K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 89 89 $13K
93922 178 164 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 80 72 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 113 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 80 72 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 30 $3K
36415 Collection of venous blood by venipuncture 380 372 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 39 35 $739.73
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 20 $368.00
96120 12 12 $254.96
90688 13 13 $231.92
G0008 Administration of influenza virus vaccine 13 13 $30.42
96160 110 110 $0.00