Medicaid Provider Spending

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

DAGAN WELLNESS LLC

NPI: 1982065983 · MINNEAPOLIS, MN 55408 · Primary Care Clinic/Center · NPI assigned 03/17/2016

$705K
Total Medicaid Paid
13,843
Total Claims
12,693
Beneficiaries
22
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDENARDO, JACQUELYN (OWNER)
NPI Enumeration Date03/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,426 $68K
2021 6,359 $280K
2022 2,444 $107K
2023 2,156 $150K
2024 1,458 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,784 3,507 $181K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,693 1,449 $112K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,326 2,273 $107K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,028 837 $101K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 794 782 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 491 475 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 803 735 $30K
99000 755 705 $15K
99072 445 431 $13K
99205 Prolong outpt/office vis 74 72 $9K
T1013 Sign language or oral interpretive services, per 15 minutes 139 136 $6K
36415 Collection of venous blood by venipuncture 766 583 $4K
0011A 204 198 $3K
0012A 141 137 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 140 139 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 103 102 $1K
87081 47 46 $277.81
96156 34 19 $59.79
96160 24 21 $40.25
97802 24 18 $0.00
91301 16 16 $0.00
97803 12 12 $0.00