Medicaid Provider Spending

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

ANCIENT CITY PEDIATRICS

NPI: 1053598292 · SAINT AUGUSTINE, FL 32080 · Pediatrics Physician · NPI assigned 01/30/2008

$7K
Total Medicaid Paid
112
Total Claims
109
Beneficiaries
2
Codes Billed
2021-06
First Month
2023-04
Last Month

Provider Details

Authorized OfficialMCCOY, ADRIENNE (OFFICE MANAGER)
NPI Enumeration Date01/30/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 71 $4K
2022 14 $1K
2023 27 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99238 Hospital discharge day management, 30 minutes or less 86 83 $6K
99460 26 26 $867.20