Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1104960491
NPI: 1104960491
Deactivated NPI
· This NPI was deactivated on 11/02/2022.
$12K
Total Medicaid Paid
129
Total Claims
122
Beneficiaries
4
Codes Billed
2019-06
First Month
2021-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
48
$10K
2020
13
$332.24
2021
68
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V5257
Hearing aid, digital, monaural, bte
12
12
$9K
V5266
Battery for use in hearing device
64
62
$2K
V5264
Ear mold/insert, not disposable, any type
26
24
$924.96
V5275
Ear impression, each
27
24
$580.32