Medicaid Provider Spending

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

PETRACCA, LOUIS

NPI: 1073643136 · BLOOMFIELD, NJ 07003 · 207RP1001X

$173.54

Total Medicaid Paid

12

Total Claims

12

Beneficiaries

1

Codes Billed

2020-04

First Month

2020-04

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	12	$173.54

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99222		12	12	$173.54