Medicaid Provider Spending

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

TARTER FAMILY MEDICINE INC

NPI: 1972972446 · MERIDIAN, ID 83642 · Nurse Practitioner · NPI assigned 09/15/2015

$39K
Total Medicaid Paid
1,067
Total Claims
761
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialTARTER, DAN (OWNER)
NPI Enumeration Date09/15/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 419 $12K
2019 370 $14K
2020 139 $6K
2021 139 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,009 707 $38K
90674 26 26 $457.11
90460 Immunization administration through 18 years of age via any route, first or only component 17 16 $308.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 12 $190.01