Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1083773444

NPI: 1083773444

Deactivated NPI · This NPI was deactivated on 10/23/2019.
$1.49M
Total Medicaid Paid
604
Total Claims
525
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 399 $1.06M
2019 205 $428K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 435 390 $1.24M
J2357 Injection, omalizumab, 5 mg 129 98 $174K
J0585 Injection, onabotulinumtoxina, 1 unit 40 37 $74K