Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1063806958

NPI: 1063806958

Deactivated NPI · This NPI was deactivated on 10/21/2020.
$13K
Total Medicaid Paid
38
Total Claims
38
Beneficiaries
1
Codes Billed
2018-04
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9009 Coordinated care fee, risk adjusted maintenance, level 3 38 38 $13K