Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DIVINE LEGACY
NPI: 1073072260 · BROOKLYN CENTER, MN 55429 ·
261QC1800X
$16K
Total Medicaid Paid
227
Total Claims
68
Beneficiaries
1
Codes Billed
2022-09
First Month
2023-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
135
$9K
2023
92
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
H2017
Psysoc rehab svc, per 15 min
227
68
$16K