Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › EAGAN › DIABETIC SHOE SOURCE

DIABETIC SHOE SOURCE

NPI: 1003960147 · EAGAN, MN 55122 · 332B00000X

$31K
Total Medicaid Paid
532
Total Claims
354
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $763.80
2019 132 $10K
2020 296 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A5512 Multi den insert direct form 266 177 $17K
A5500 Diab shoe for density insert 266 177 $15K