Medicaid Provider Spending

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

IDEAL PEDIATRIC AND ADOLESCENT CARE

NPI: 1154879096 · LEWISBURG, PA 17837 · Clinic/Center · NPI assigned 09/21/2016

$288K
Total Medicaid Paid
7,412
Total Claims
6,461
Beneficiaries
21
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialO'HARA, MARY BETH (PRESIDENT)
NPI Enumeration Date09/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 970 $25K
2021 2,080 $77K
2022 1,479 $61K
2023 1,689 $72K
2024 1,194 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 2,430 2,100 $111K
99392 724 680 $64K
99213 1,786 1,531 $53K
99391 475 407 $38K
99393 168 165 $14K
99188 150 142 $3K
87880 220 204 $1K
99211 66 59 $1K
90686 309 301 $500.00
96160 120 119 $480.24
90670 99 94 $380.00
99429 16 16 $375.00
90460 154 95 $340.00
90648 108 108 $250.00
99072 270 228 $151.20
96161 35 14 $121.80
99056 31 26 $0.00
96110 123 73 $0.00
90723 14 14 $0.00
90656 57 56 $0.00
90461 57 29 $0.00