Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› JACKSON, DELOVELY
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
Year
Claims
Total Paid
2023
991
$33K
2024
604
$22K
Billing Codes
Code
Description
Claims
Beneficiaries
Total 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