Medicaid Provider Spending

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

1104938992

NPI: 1104938992

Deactivated NPI · This NPI was deactivated on 09/03/2024.
$32K
Total Medicaid Paid
6,828
Total Claims
6,178
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,030 $9K
2019 1,498 $6K
2020 1,379 $8K
2021 969 $6K
2022 723 $3K
2023 229 $396.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,078 996 $20K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 697 658 $11K
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days 2,354 2,110 $648.12
A7015 Aerosol mask, used with dme nebulizer 1,278 1,091 $281.88
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 794 735 $218.09
A7004 Small volume nonfiltered pneumatic nebulizer, disposable 627 588 $74.23