Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TABLE ROCK MOBILE MEDICINE PLLC

NPI: 1194186437 · MERIDIAN, ID 83642 · 363LF0000X

$27K
Total Medicaid Paid
729
Total Claims
568
Beneficiaries
7
Codes Billed
2020-10
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 66 $781.11
2021 247 $9K
2022 416 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 272 215 $15K
96360 223 136 $7K
99214 28 13 $2K
90471 89 89 $2K
99203 12 12 $799.27
90688 90 90 $410.80
96374 15 13 $409.20