Medicaid Provider Spending

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

1093962995

NPI: 1093962995

Deactivated NPI · This NPI was deactivated on 10/06/2020.
$26K
Total Medicaid Paid
4,481
Total Claims
3,607
Beneficiaries
27
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,481 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 485 389 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81 70 $2K
99490 Ccm add 20min 311 311 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 540 422 $988.74
1126F 380 303 $964.18
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 77 52 $956.04
36415 Collection of venous blood by venipuncture 244 223 $875.91
1125F 238 190 $852.92
2000F 160 130 $404.33
94060 12 12 $390.47
82962 338 257 $352.70
3044F 69 58 $282.08
1036F 418 326 $190.29
81002 164 141 $171.00
80305 30 28 $147.73
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17 16 $145.85
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $119.21
3061F 21 16 $6.62
3725F 18 14 $5.76
4086F 40 36 $5.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $3.85
1159F 300 214 $0.00
3078F 212 150 $0.00
4013F 17 12 $0.00
3079F 15 12 $0.00
3074F 247 181 $0.00
1170F 20 17 $0.00