Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1174983993

NPI: 1174983993

Deactivated NPI · This NPI was deactivated on 10/11/2021.
$65K
Total Medicaid Paid
2,703
Total Claims
166
Beneficiaries
2
Codes Billed
2018-06
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82 $4K
2019 608 $38K
2020 2,013 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2015 Comprehensive community support services, per 15 minutes 1,122 114 $65K
W00R2 1,581 52 $0.00