Medicaid Provider Spending

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

KWON, SAM

NPI: 1013054402 · DACULA, GA 30019 · 1223P0221X

$187K
Total Medicaid Paid
8,956
Total Claims
8,525
Beneficiaries
18
Codes Billed
2018-01
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,956 $187K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 1,130 1,130 $29K
D0120 1,252 1,252 $23K
D9630 571 571 $16K
D1208 1,110 1,110 $16K
D0272 792 792 $14K
D0220 1,188 1,186 $13K
D2392 204 101 $12K
D0230 1,140 1,140 $10K
D1351 400 122 $9K
D0274 335 335 $9K
D0210 158 158 $8K
D1110 252 252 $7K
D9999 12 12 $6K
D2930 41 24 $5K
D0150 167 167 $4K
D7140 76 46 $4K
D0140 96 95 $2K
D9230 32 32 $612.78