Medicaid Provider Spending

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

SJ3 OP DIVERS LLC

NPI: 1063134294 · SAINT JOSEPH, MO 64505 · 314000000X

$18K

Total Medicaid Paid

2,412

Total Claims

276

Beneficiaries

5

Codes Billed

2018-10

First Month

2023-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	151	$1K
2023	2,261	$17K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
97530		1,054	93	$9K
97110		661	76	$4K
97112		477	65	$3K
97116		207	29	$1K
97162		13	13	$189.10