Medicaid Provider Spending

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

1114918331

NPI: 1114918331

Deactivated NPI · This NPI was deactivated on 03/04/2022.
$81K
Total Medicaid Paid
4,365
Total Claims
4,212
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 514 $7K
2019 1,608 $30K
2020 1,292 $26K
2021 951 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,095 1,094 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination 647 595 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,226 1,165 $13K
17004 148 141 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 574 574 $8K
11901 547 520 $5K
10040 128 123 $905.91