Medicaid Provider Spending

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

JACKSON, DELOVELY

NPI: 1013370857 · CHICAGO HEIGHTS, IL 60411 · 363LF0000X

$56K
Total Medicaid Paid
1,595
Total Claims
1,507
Beneficiaries
9
Codes Billed
2023-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 991 $33K
2024 604 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 582 562 $26K
99213 499 478 $24K
87804 133 97 $3K
87880 94 89 $1K
87635 26 25 $1K
81025 64 62 $298.83
81002 83 80 $195.00
96372 12 12 $88.29
3008F 102 102 $0.00