Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WEST JORDAN
› LAKE, ELYSE
LAKE, ELYSE
NPI: 1063721611 · WEST JORDAN, UT 84088 ·
363LF0000X
$3K
Total Medicaid Paid
40
Total Claims
37
Beneficiaries
1
Codes Billed
2018-02
First Month
2020-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
25
$2K
2020
15
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99213
40
37
$3K