Medicaid Provider Spending

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

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NPI: 1134189889 · NEWTON, MA 02461 · Specialist · NPI assigned 03/26/2006

$1K
Total Medicaid Paid
54
Total Claims
53
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialSTAVITSKY, IGOR (OWNER)
NPI Enumeration Date03/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $996.02
2023 41 $458.01

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $996.02
92587 14 14 $242.34
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 15 $215.67
99173 12 12 $0.00