Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › JERSEY CITY › BOULOS, MONA

BOULOS, MONA

NPI: 1043316565 · JERSEY CITY, NJ 07306 · Pediatrics Physician · NPI assigned 09/15/2006

$113K
Total Medicaid Paid
3,808
Total Claims
3,463
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,588 $44K
2019 1,794 $55K
2020 426 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 1,667 1,439 $67K
99213 873 803 $23K
90471 765 731 $9K
90472 282 273 $5K
99394 87 84 $4K
99393 44 43 $3K
99392 13 13 $686.13
36410 38 38 $253.83
90688 26 26 $141.00
86580 13 13 $53.16