Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1174860423

NPI: 1174860423

Deactivated NPI · This NPI was deactivated on 12/16/2019.
$62K
Total Medicaid Paid
13
Total Claims
12
Beneficiaries
1
Codes Billed
2019-11
First Month
2019-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $62K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0658 13 12 $62K