Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › TERRE HAUTE › LIM, CUSTODIO

LIM, CUSTODIO

NPI: 1063404259 · TERRE HAUTE, IN 47807 · 208600000X

$14K
Total Medicaid Paid
273
Total Claims
213
Beneficiaries
4
Codes Billed
2019-09
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $745.09
2020 30 $2K
2021 94 $5K
2022 21 $1K
2023 37 $1K
2024 75 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11402 233 176 $11K
11442 12 12 $1K
11422 15 12 $1K
11401 13 13 $321.28