Medicaid Provider Spending

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

DEKALB MEDICAL GROUP PC

NPI: 1205020930 · BROOKLYN, NY 11237 · Primary Care Clinic/Center · NPI assigned 09/06/2007

$7K
Total Medicaid Paid
116
Total Claims
106
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialLO, PETER (PRESIDENT)
NPI Enumeration Date09/06/2007

Related Entities

Other providers sharing the same authorized official: LO, PETER

ProviderCityStateTotal Paid
MAINLINE FAMILY COUNSELING SERVICE PROF CORP CHINO CA $25K
WELLMANS PHARMACY INC SAN FRANCISCO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 116 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 106 $7K