Medicaid Provider Spending

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

JAL 28 LLC

NPI: 1063278281 · BROOKLYN, NY 11224 · Clinic/Center · NPI assigned 02/26/2024

$46K
Total Medicaid Paid
415
Total Claims
140
Beneficiaries
3
Codes Billed
2024-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIEBERMAN, JOHN (MANAGER)
NPI Enumeration Date02/26/2024

Related Entities

Other providers sharing the same authorized official: LIEBERMAN, JOHN

ProviderCityStateTotal Paid
PUEBLO INFECTIOUS DISEASES, PLLC PUEBLO CO $856K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 415 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 228 52 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 113 20 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74 68 $4K