Medicaid Provider Spending

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

BOMMELJE, DANIEL

NPI: 1245346691 · MATTOON, IL 61938 · 207P00000X

$1.14M
Total Medicaid Paid
30,884
Total Claims
21,085
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,399 $244K
2019 15,377 $570K
2020 6,114 $261K
2021 302 $21K
2022 266 $22K
2023 274 $18K
2024 152 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 9,998 7,323 $546K
99213 10,478 7,037 $353K
87804 2,889 1,133 $70K
99284 1,290 1,213 $64K
87880 3,083 2,135 $46K
99285 511 484 $35K
J0561 Penicillin g benzathine inj 60 47 $8K
96372 658 455 $6K
87807 386 202 $4K
94640 245 146 $3K
81025 1,025 732 $3K
99204 31 25 $2K
99212 68 41 $2K
99215 Prolong outpt/office vis 34 13 $2K
99394 12 12 $805.56
99203 20 17 $639.35
99283 12 12 $438.46
81003 65 46 $137.76
J1885 Ketorolac tromethamine inj 19 12 $43.19