Medicaid Provider Spending

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

SAU 35 - LISBON

NPI: 1174826770 · LITTLETON, NH 03561 · 251300000X

$85K

Total Medicaid Paid

4,014

Total Claims

249

Beneficiaries

2

Codes Billed

2018-01

First Month

2019-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	2,441	$59K
2019	1,573	$26K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
H2017	Psysoc rehab svc, per 15 min	3,969	237	$85K
92507		45	12	$385.44