Medicaid Provider Spending

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

AMPLE GRACE LLC

NPI: 1952971657 · GOLDEN VALLEY, MN 55422 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 06/26/2021

$5K
Total Medicaid Paid
52
Total Claims
48
Beneficiaries
2
Codes Billed
2024-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialOSADOLOR, UHUNOMA (PMHNP)
NPI Enumeration Date06/26/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 52 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26 24 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 26 24 $2K