Medicaid Provider Spending

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

ST. MARY ADULT MEDICINE, LLC

NPI: 1942481965 · INDIANAPOLIS, IN 46254 · General Practice Physician · NPI assigned 11/19/2007

$64K
Total Medicaid Paid
1,896
Total Claims
1,562
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialHERMINA, MALAK (OWNER)
NPI Enumeration Date11/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 495 $10K
2019 534 $17K
2020 447 $18K
2021 420 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 822 709 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 295 208 $13K
36415 Collection of venous blood by venipuncture 779 645 $1K