Medicaid Provider Spending

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

DIETRICH, JAY

NPI: 1225629447 · BLOOMINGTON, IL 61701 · Nurse Practitioner · NPI assigned 01/30/2021

$124K
Total Medicaid Paid
3,881
Total Claims
3,695
Beneficiaries
9
Codes Billed
2021-08
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 744 $23K
2022 1,223 $36K
2023 1,148 $32K
2024 766 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,465 2,349 $76K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 250 212 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 200 193 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 451 442 $7K
87428 103 102 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 117 106 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 156 154 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 109 107 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 30 $1K