Medicaid Provider Spending

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

1134589484

NPI: 1134589484

Deactivated NPI · This NPI was deactivated on 11/10/2025.
$500K
Total Medicaid Paid
27,902
Total Claims
18,522
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,561 $94K
2019 6,611 $108K
2020 3,889 $79K
2021 4,872 $87K
2022 3,368 $80K
2023 2,497 $50K
2024 104 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76881 2,978 1,633 $171K
64632 3,151 1,115 $117K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,374 3,015 $110K
11721 2,697 2,452 $38K
29580 1,660 695 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 220 202 $8K
29540 706 250 $8K
20550 435 175 $6K
17110 58 40 $3K
11056 132 114 $2K
11000 51 36 $875.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 670 353 $827.28
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68 39 $484.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 650 343 $309.61
11720 42 34 $290.16
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 322 295 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 730 598 $0.00
4040F 1,467 1,218 $0.00
G8484 Influenza immunization was not administered, reason not given 1,314 1,101 $0.00
3077F 136 114 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 732 632 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 314 249 $0.00
4004F 201 168 $0.00
3078F 29 24 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 722 631 $0.00
1036F 677 549 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 2,784 1,952 $0.00
3079F 61 56 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 241 196 $0.00
3080F 113 98 $0.00
3075F 13 12 $0.00
3074F 103 94 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 26 26 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 25 13 $0.00