Medicaid Provider Spending

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

1104913813

NPI: 1104913813

Deactivated NPI · This NPI was deactivated on 05/09/2022.
$483K
Total Medicaid Paid
7,021
Total Claims
928
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,071 $68K
2019 2,277 $196K
2020 3,673 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90876 4,791 413 $428K
Q3014 Telehealth originating site facility fee 1,641 132 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 452 283 $12K
90792 Psychiatric diagnostic evaluation with medical services 59 51 $3K
99308 Subsequent nursing facility care, per day, straightforward 78 49 $2K