Medicaid Provider Spending

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

DOMINGUEZ, MARY

NPI: 1043568835 · NEW YORK, NY 10038 · 390200000X

$65K
Total Medicaid Paid
2,604
Total Claims
2,203
Beneficiaries
12
Codes Billed
2019-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 222 $5K
2020 461 $8K
2021 309 $7K
2022 438 $14K
2023 548 $15K
2024 626 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 688 686 $26K
99214 698 693 $21K
99232 417 242 $6K
99233 Prolong inpt eval add15 m 243 98 $5K
99213 189 187 $3K
90935 205 133 $2K
90961 25 25 $843.60
90947 12 12 $410.79
3079F 34 34 $0.00
3074F 49 49 $0.00
G2211 Complex e/m visit add on 28 28 $0.00
3078F 16 16 $0.00