Medicaid Provider Spending

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

SAN GABRIEL, ROSVIDA

NPI: 1023166535 · STREATOR, IL 61364 · 208000000X

$813K
Total Medicaid Paid
25,059
Total Claims
22,036
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,980 $93K
2019 4,491 $129K
2020 3,705 $99K
2021 3,511 $113K
2022 4,388 $140K
2023 2,389 $88K
2024 3,595 $150K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 5,785 5,052 $272K
99392 1,581 1,360 $115K
99393 1,393 1,260 $101K
99394 736 645 $58K
99391 857 731 $56K
96110 2,673 2,336 $47K
96127 2,210 1,958 $39K
99173 3,588 3,225 $26K
87428 272 247 $17K
87880 939 853 $14K
90686 1,444 1,258 $14K
99211 850 766 $10K
90677 211 193 $7K
87811 108 103 $4K
90670 524 429 $4K
90651 118 73 $3K
99203 67 67 $3K
99383 29 29 $3K
90697 163 144 $3K
90648 346 289 $2K
90734 126 78 $2K
99382 15 15 $1K
90672 198 190 $1K
90656 78 77 $1K
90660 77 75 $1K
99384 13 12 $1K
90633 130 101 $1K
90681 52 50 $838.02
83655 70 57 $825.93
90715 61 38 $750.56
90685 115 115 $736.00
90723 93 86 $590.00
87807 41 41 $393.86
85018 83 70 $192.02
90710 13 13 $83.20