Medicaid Provider Spending

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

1083688428

NPI: 1083688428

Deactivated NPI · This NPI was deactivated on 05/17/2021.
$21K
Total Medicaid Paid
1,596
Total Claims
1,381
Beneficiaries
14
Codes Billed
2018-01
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,596 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 167 131 $6K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 121 80 $6K
84443 Thyroid stimulating hormone (TSH) 242 215 $2K
80053 Comprehensive metabolic panel 346 308 $2K
80061 Lipid panel 131 111 $1K
82607 51 48 $635.87
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 81 71 $562.04
84439 75 68 $443.74
80171 42 35 $400.06
83735 98 89 $398.25
82550 92 87 $341.90
85025 Blood count; complete (CBC), automated, and automated differential WBC count 98 90 $143.77
80048 Basic metabolic panel (calcium, ionized) 37 34 $113.44
83036 Hemoglobin; glycosylated (A1C) 15 14 $65.14