Medicaid Provider Spending

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

1154415495

NPI: 1154415495

Deactivated NPI · This NPI was deactivated on 12/03/2020.
$507K
Total Medicaid Paid
5,955
Total Claims
5,837
Beneficiaries
9
Codes Billed
2018-01
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,917 $333K
2019 2,038 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,368 3,267 $255K
99242 1,530 1,530 $145K
17110 562 552 $66K
11100 158 158 $17K
11102 81 81 $11K
11900 107 107 $6K
88305 Level IV - Surgical pathology, gross and microscopic examination 78 72 $3K
17000 31 31 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40 39 $2K