Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
› 1215363270
1215363270
NPI: 1215363270
Deactivated NPI
· This NPI was deactivated on 01/22/2020.
$577K
Total Medicaid Paid
567
Total Claims
479
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
502
$521K
2019
65
$56K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
J2315
Injection, naltrexone, depot form, 1 mg
348
302
$405K
J0585
Injection, onabotulinumtoxina, 1 unit
219
177
$172K