Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › NORTH CHARLESTON › DEBROY, SUMITA

DEBROY, SUMITA

NPI: 1164538732 · NORTH CHARLESTON, SC 29406 · Pediatrics Physician · NPI assigned 08/23/2006

$9K
Total Medicaid Paid
138
Total Claims
138
Beneficiaries
3
Codes Billed
2019-07
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 138 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100 100 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 26 26 $397.20