Medicaid Provider Spending

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

1184667396

NPI: 1184667396

Deactivated NPI · This NPI was deactivated on 12/09/2025.
$262K
Total Medicaid Paid
18,486
Total Claims
16,503
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,662 $70K
2019 2,864 $41K
2020 2,182 $29K
2021 3,036 $36K
2022 2,637 $31K
2023 2,614 $33K
2024 1,491 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,009 1,667 $81K
11721 6,616 6,034 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,861 1,614 $33K
11720 3,168 2,946 $27K
11056 1,231 1,076 $26K
11719 2,256 1,933 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 267 244 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 81 70 $4K
99307 368 332 $4K
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 161 159 $3K
11055 212 192 $3K
99308 Subsequent nursing facility care, per day, straightforward 83 79 $1K
99347 111 106 $1K
29540 30 25 $777.42
99334 12 12 $596.68
73620 20 14 $380.68