Medicaid Provider Spending

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

DUNDON, MARY

NPI: 1174519706 · GOODLETTSVILLE, TN 37072 · Pediatrics Physician · NPI assigned 09/20/2005

$6K
Total Medicaid Paid
166
Total Claims
151
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 166 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 123 110 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $560.00
99173 12 12 $25.92
99051 19 17 $0.00