Medicaid Provider Spending

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

1043284110

NPI: 1043284110

Deactivated NPI · This NPI was deactivated on 11/02/2020.
$1.25M
Total Medicaid Paid
31,097
Total Claims
12,058
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,424 $620K
2019 4,031 $189K
2020 11,642 $436K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,798 3,844 $542K
80305 11,620 3,964 $379K
81025 4,406 1,598 $119K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,123 939 $103K
99406 2,372 1,186 $60K
99401 559 308 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 99 99 $13K
99205 Prolong outpt/office vis 14 14 $3K
99407 89 89 $3K
99402 17 17 $797.86