Medicaid Provider Spending

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

BORIBOON, KINGKHAN

NPI: 1023103025 · DEARBORN, MI 48124 · Pediatric Adolescent Medicine Physician · NPI assigned 10/04/2006

$10K
Total Medicaid Paid
167
Total Claims
142
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 167 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 133 112 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 17 13 $114.80
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17 17 $85.32