Medicaid Provider Spending

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

GOLON, LORI

NPI: 1114019593 · LEAVENWORTH, KS 66048 · Pediatrics Physician · NPI assigned 09/29/2006

$12K
Total Medicaid Paid
326
Total Claims
285
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 326 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 260 221 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 34 33 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $303.90
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 17 16 $238.24