Medicaid Provider Spending

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

PROVIDENCE FAMILY MEDICINE CLINIC INC

NPI: 1932690617 · CONWAY, AR 72034 · Family Medicine Physician · NPI assigned 05/29/2018

$185K
Total Medicaid Paid
8,303
Total Claims
5,435
Beneficiaries
7
Codes Billed
2019-02
First Month
2024-09
Last Month

Provider Details

Authorized OfficialIDRIS, MOHAMMAD (PRESIDENT)
NPI Enumeration Date05/29/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 786 $21K
2020 1,408 $32K
2021 1,468 $32K
2022 1,794 $40K
2023 1,829 $37K
2024 1,018 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,539 4,925 $164K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 233 194 $11K
99232 Subsequent hospital care, per day, moderate complexity 181 64 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 243 176 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 68 45 $2K
90688 20 19 $229.48
90674 19 12 $196.79