Medicaid Provider Spending

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

ANON, JACK

NPI: 1104877265 · ERIE, PA 16505 · 207YX0602X

$253K
Total Medicaid Paid
6,711
Total Claims
6,286
Beneficiaries
15
Codes Billed
2020-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 78 $2K
2021 945 $26K
2022 1,651 $50K
2023 2,462 $106K
2024 1,575 $68K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 1,076 1,070 $54K
99213 1,451 1,381 $44K
99204 390 388 $34K
69436 297 295 $34K
95165 227 220 $29K
42820 101 100 $20K
99214 300 293 $14K
92567 792 784 $10K
95117 1,340 1,072 $9K
92552 214 214 $2K
92555 198 198 $1K
99212 53 53 $1K
95115 247 193 $763.97
92557 13 13 $350.90
92556 12 12 $198.00