Medicaid Provider Spending

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

LA SALETTE PERSONAL PRIMARY HEALTH CARE LLC

NPI: 1922285063 · WADSWORTH, OH 44281 · Family Medicine Physician · NPI assigned 01/30/2008

$4K
Total Medicaid Paid
75
Total Claims
64
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-10
Last Month

Provider Details

Authorized OfficialLASSALETTA, MARGARITA (OWNER)
NPI Enumeration Date01/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 44 39 $3K
90688 16 13 $227.79
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 12 $211.00