Medicaid Provider Spending

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

SOUTH STREET CLINIC LLC

NPI: 1235128356 · OCONOMOWOC, WI 53066 · 103TC0700X

$1K

Total Medicaid Paid

24

Total Claims

12

Beneficiaries

1

Codes Billed

2018-10

First Month

2018-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	24	$1K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90837		24	12	$1K