Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1003842675
NPI: 1003842675
Deactivated NPI
· This NPI was deactivated on 01/22/2019.
$34K
Total Medicaid Paid
627
Total Claims
608
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
627
$34K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99223
Prolong inpt eval add15 m
105
104
$10K
99205
Prolong outpt/office vis
200
200
$10K
37252
14
12
$7K
99215
Prolong outpt/office vis
198
188
$6K
11900
110
104
$851.51