Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1063431195
NPI: 1063431195
Deactivated NPI
· This NPI was deactivated on 08/11/2020.
$988K
Total Medicaid Paid
399
Total Claims
254
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-02
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
334
$833K
2019
65
$155K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90378
282
159
$703K
J2357
Injection, omalizumab, 5 mg
44
27
$148K
J1729
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg
73
68
$138K