Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › 1205885175

1205885175

NPI: 1205885175

Deactivated NPI · This NPI was deactivated on 08/05/2020.
$263.07
Total Medicaid Paid
154
Total Claims
118
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $263.07

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 118 94 $253.04
K0552 Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each 36 24 $10.03