Medicaid Provider Spending

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

1104891001

NPI: 1104891001

Deactivated NPI · This NPI was deactivated on 06/05/2024.
$2.37M
Total Medicaid Paid
36,242
Total Claims
25,097
Beneficiaries
8
Codes Billed
2018-03
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $5K
2019 464 $17K
2020 1,526 $84K
2021 1,009 $175K
2022 14,770 $956K
2023 17,214 $1.04M
2024 1,079 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
95144 2,748 514 $973K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,730 9,345 $569K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,907 7,195 $494K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,106 6,584 $212K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 510 390 $51K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 551 516 $48K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 654 517 $21K
99349 36 36 $88.80