Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › BLOOMINGTON › PEDERSEN, PAUL

PEDERSEN, PAUL

NPI: 1053403675 · BLOOMINGTON, IL 61704 · 207R00000X

$93K
Total Medicaid Paid
1,570
Total Claims
1,347
Beneficiaries
8
Codes Billed
2019-12
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $2K
2020 668 $36K
2021 641 $42K
2022 35 $2K
2023 136 $8K
2024 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 1,089 929 $75K
99213 290 255 $13K
90686 69 48 $1K
0011A 33 33 $1K
99215 Prolong outpt/office vis 16 15 $968.38
0012A 18 18 $758.52
G2012 Brief check in by md/qhp 41 37 $603.82
G2211 Complex e/m visit add on 14 12 $69.67