Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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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 Official
MCCOY, ADRIENNE
(OFFICE MANAGER)
NPI Enumeration Date
01/30/2008
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
71
$4K
2022
14
$1K
2023
27
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99238
Hospital discharge day management, 30 minutes or less
86
83
$6K
99460
26
26
$867.20