Medicaid Provider Spending

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

OMAHA MEDICAL GROUP LLC

NPI: 1922438829 · OMAHA, NE 68124 · Internal Medicine Physician · NPI assigned 11/14/2013

$224K
Total Medicaid Paid
5,285
Total Claims
4,272
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHANLATTE-GARCIA, JACQUELINE (PRESIDENT)
NPI Enumeration Date11/14/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 780 $29K
2019 872 $29K
2020 621 $24K
2021 878 $37K
2022 897 $45K
2023 796 $42K
2024 441 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,082 2,555 $201K
80305 2,160 1,678 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 15 $992.40
80306 28 24 $349.55