Medicaid Provider Spending

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

1225107568

NPI: 1225107568

Deactivated NPI · This NPI was deactivated on 04/17/2025.
$1.44M
Total Medicaid Paid
27,423
Total Claims
24,347
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,435 $228K
2019 4,780 $232K
2020 4,563 $232K
2021 4,634 $265K
2022 3,737 $212K
2023 2,972 $170K
2024 2,302 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,880 18,897 $1.26M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 658 647 $52K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 641 629 $43K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 474 466 $35K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,148 1,128 $20K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 145 142 $10K
86580 1,643 1,618 $9K
90660 448 436 $9K
90658 208 208 $3K
92551 119 119 $849.60
99080 46 44 $0.00
90633 13 13 $0.00