Medicaid Provider Spending

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

1114320074

NPI: 1114320074

Deactivated NPI · This NPI was deactivated on 05/17/2022.
$192K
Total Medicaid Paid
4,530
Total Claims
2,466
Beneficiaries
9
Codes Billed
2018-02
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 578 $35K
2019 561 $28K
2020 1,038 $49K
2021 2,353 $80K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 3,330 1,611 $145K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 206 195 $14K
G9009 Coordinated care fee, risk adjusted maintenance, level 3 36 36 $12K
T1017 Targeted case management, each 15 minutes 276 164 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 155 150 $7K
H2015 Comprehensive community support services, per 15 minutes 302 85 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14 14 $1K
99368 187 187 $1K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 24 24 $595.68