Medicaid Provider Spending

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

ST RAFAEL MEDICINE LLC

NPI: 1972215325 · LAS VEGAS, NV 89121 · Clinic/Center · NPI assigned 12/16/2022

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

Provider Details

Authorized OfficialGONZALEZ, JUANA (OWNER)
NPI Enumeration Date12/16/2022

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,191 613 $282K
97032 5,192 618 $161K
98960 2,405 305 $111K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,184 613 $94K
97016 5,187 613 $82K
Q3014 Telehealth originating site facility fee 2,403 305 $55K
95816 146 144 $38K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 91 86 $31K
99215 Prolong outpt/office vis 91 86 $11K
92652 147 144 $10K
95044 31 30 $8K
H2011 Crisis intervention service, per 15 minutes 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