Medicaid Provider Spending

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

1073931689

NPI: 1073931689

Deactivated NPI · This NPI was deactivated on 11/01/2022.
$47K
Total Medicaid Paid
1,892
Total Claims
1,022
Beneficiaries
5
Codes Billed
2018-09
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $3K
2019 103 $3K
2020 777 $16K
2021 779 $18K
2022 209 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 723 379 $34K
S9338 Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 257 131 $8K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 24 14 $3K
99601 761 404 $2K
99602 Nursing care in home rn 127 94 $620.00