Medicaid Provider Spending

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

RGV VAX, LLC

NPI: 1972189371 · WESLACO, TX 78596 · Nurse Practitioner · NPI assigned 03/24/2021

$9K
Total Medicaid Paid
619
Total Claims
592
Beneficiaries
13
Codes Billed
2021-05
First Month
2022-12
Last Month

Provider Details

Authorized OfficialHERNADEZ, MONICA (NURSE PRACTITIONER)
NPI Enumeration Date03/24/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 73 $2K
2022 546 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0053A 56 50 $1K
0001A 47 42 $1K
0073A 37 35 $1K
90674 81 81 $1K
0134A 104 103 $800.00
0124A 43 41 $760.00
0002A 26 23 $724.00
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home 102 96 $637.23
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 56 $631.69
0081A 14 14 $520.00
0064A 17 15 $198.00
0054A 17 17 $80.00
G0008 Administration of influenza virus vaccine 19 19 $0.00