Medicaid Provider Spending

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

GORDON, VERONA

NPI: 1164957809 · WETHERSFIELD, CT 06109 · 363LF0000X

$25K

Total Medicaid Paid

1,125

Total Claims

1,086

Beneficiaries

11

Codes Billed

2018-06

First Month

2019-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	491	$10K
2019	634	$15K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99349		343	326	$19K
99350	Prolong home eval add 15m	54	52	$5K
99490	Ccm add 20min	121	121	$749.45
99401		169	164	$596.75
94760		59	57	$1.80
1125F		178	173	$0.00
3074F		43	41	$0.00
1126F		50	48	$0.00
3080F		12	12	$0.00
3077F		31	29	$0.00
3078F		65	63	$0.00