Medicaid Provider Spending

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

ST HOPE FOUNDATION INC

NPI: 1992869846 · SUGAR LAND, TX 77478 · Federally Qualified Health Center (FQHC) · NPI assigned 12/21/2006

$13K
Total Medicaid Paid
1,277
Total Claims
1,111
Beneficiaries
6
Codes Billed
2022-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSAM-COOPER, MIKA (COO)
NPI Enumeration Date12/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 940 $630.28
2023 246 $8K
2024 91 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 96 84 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 232 185 $3K
90792 Psychiatric diagnostic evaluation with medical services 175 154 $630.28
T1015 Clinic visit/encounter, all-inclusive 617 554 $5.44
99215 Prolong outpt/office vis 144 122 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 13 12 $0.00