Medicaid Provider Spending

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

KOESNODIHARDJO, HADI

NPI: 1073735700 · REDWOOD CITY, CA 94064 · 106H00000X

$35K
Total Medicaid Paid
319
Total Claims
94
Beneficiaries
1
Codes Billed
2020-11
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 97 $10K
2021 222 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 319 94 $35K