Medicaid Provider Spending

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

WITTEK, DOMINIKA

NPI: 1194051565 · NEW YORK, NY 10007 · Children's Hospital · NPI assigned 10/20/2009

$3K
Total Medicaid Paid
49
Total Claims
49
Beneficiaries
4
Codes Billed
2021-12
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $0.00
2023 24 $2K
2024 13 $778.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 13 $778.30
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $692.76
99000 12 12 $0.00