Medicaid Provider Spending

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

SUHARDJA, AGUSTINUS

NPI: 1235349473 · GLENDORA, CA 91740 · 2085R0202X

$649.92

Total Medicaid Paid

86

Total Claims

81

Beneficiaries

2

Codes Billed

2018-04

First Month

2022-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	17	$63.32
2022	69	$586.60

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
71045		68	66	$512.29
73564		18	15	$137.63