Medicaid Provider Spending

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

SHA DIABETES CENTER LLC

NPI: 1063293603 · DOTHAN, AL 36304 · Clinic/Center · NPI assigned 10/10/2023

$2K
Total Medicaid Paid
222
Total Claims
117
Beneficiaries
6
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOLAJI, TAI (DR./CEO)
NPI Enumeration Date10/10/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 222 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 12 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21 12 $819.28
94760 31 12 $0.00
3008F 57 28 $0.00
3078F 23 13 $0.00
1160F 73 40 $0.00