Medicaid Provider Spending

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

ODATALLA, BASSAM

NPI: 1063620060 · FAIRFIELD, NJ 07004 · Family Medicine Physician · NPI assigned 05/21/2007

$11K
Total Medicaid Paid
221
Total Claims
191
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 209 $11K
2019 12 $811.03

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 147 129 $10K
99402 40 34 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 13 $165.46
99406 18 15 $107.71