Medicaid Provider Spending

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

HEIDE'S MASTECTOMY SERVICES, INC.

NPI: 1154402600 · EDINA, MN 55435 · Specialist · NPI assigned 10/18/2006

$22K
Total Medicaid Paid
73
Total Claims
46
Beneficiaries
2
Codes Billed
2023-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialHEIDE-WRAZIDLO, KATHLEEN (OWNER)
NPI Enumeration Date10/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 73 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A6549 Gradient compression garment, not otherwise specified, for daytime use, each 59 32 $21K
L8000 Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type 14 14 $1K