Medicaid Provider Spending

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

ST RAFAEL MEDICINE LLC

NPI: 1972215325 · LAS VEGAS, NV 89121 · 261Q00000X

$901K
Total Medicaid Paid
27,049
Total Claims
4,353
Beneficiaries
17
Codes Billed
2022-12
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 276 $6K
2023 26,773 $895K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97112 5,191 613 $282K
97032 5,192 618 $161K
98960 2,405 305 $111K
99211 5,184 613 $94K
97016 5,187 613 $82K
Q3014 Telehealth facility fee 2,403 305 $55K
95816 146 144 $38K
95004 91 86 $31K
99215 Prolong outpt/office vis 91 86 $11K
92652 147 144 $10K
95044 31 30 $8K
H2011 Crisis interven svc, 15 min 252 77 $7K
96137 146 144 $4K
96132 146 144 $4K
96136 146 144 $3K
95930 146 144 $0.00
95957 145 143 $0.00