Medicaid Provider Spending

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

PRIMARY CARE OF BONNE TERRE LLC

NPI: 1962883751 · BONNE TERRE, MO 63628 · Primary Care Clinic/Center · NPI assigned 06/17/2015

$190K
Total Medicaid Paid
5,262
Total Claims
4,206
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNINICHUCK, ANDREW (OWNER)
NPI Enumeration Date06/17/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,742 $40K
2019 489 $16K
2020 407 $12K
2021 668 $21K
2022 651 $31K
2023 714 $43K
2024 591 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,717 3,017 $155K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,442 1,091 $35K
3008F 73 70 $0.00
3074F 15 14 $0.00
3078F 15 14 $0.00