Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › ELIZABETH › IN, KACY

IN, KACY

NPI: 1124453311 · ELIZABETH, NJ 07202 · 363LF0000X

$49K
Total Medicaid Paid
2,110
Total Claims
2,048
Beneficiaries
11
Codes Billed
2018-08
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $567.00
2019 410 $10K
2020 146 $4K
2021 1,542 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 864 821 $35K
90460 297 283 $5K
99393 76 76 $4K
87880 172 170 $2K
99394 18 18 $855.90
92558 208 207 $624.80
99392 12 12 $589.90
90461 36 35 $560.75
92567 41 40 $307.50
S0302 Completed epsdt 215 215 $159.36
3008F 171 171 $0.00