Medicaid Provider Spending

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

1063484814

NPI: 1063484814

Deactivated NPI · This NPI was deactivated on 01/09/2025.
$374K
Total Medicaid Paid
5,323
Total Claims
3,455
Beneficiaries
5
Codes Billed
2018-02
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36 $807.18
2019 690 $68K
2020 1,541 $158K
2021 2,587 $127K
2022 469 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,096 1,962 $172K
99243 1,951 1,329 $165K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 199 120 $30K
29065 47 28 $5K
29075 30 16 $2K