Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › BLOOMINGTON › DIETRICH, JAY

DIETRICH, JAY

NPI: 1225629447 · BLOOMINGTON, IL 61701 · 363L00000X

$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 2,465 2,349 $76K
99214 250 212 $14K
87426 200 193 $7K
87880 451 442 $7K
87428 103 102 $7K
87651 117 106 $5K
99212 156 154 $4K
87804 109 107 $3K
87635 30 30 $1K