Medicaid Provider Spending

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

BENTON COUNTY

NPI: 1093997710 · LEBANON, OR 97355 · 261QF0400X

$2K

Total Medicaid Paid

526

Total Claims

474

Beneficiaries

8

Codes Billed

2018-01

First Month

2024-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	244	$550.10
2019	96	$411.15
2021	14	$0.00
2022	67	$574.52
2023	36	$0.00
2024	69	$104.08

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0191		80	79	$826.45
D0603		25	24	$420.00
D1206		53	52	$393.40
G0467	Fqhc visit, estab pt	162	120	$0.00
D1310		80	77	$0.00
D1330		92	91	$0.00
99214		15	12	$0.00
D0602		19	19	$0.00