Medicaid Provider Spending

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

1255725149

NPI: 1255725149

Deactivated NPI · This NPI was deactivated on 10/21/2020.
$50K
Total Medicaid Paid
144
Total Claims
142
Beneficiaries
1
Codes Billed
2018-02
First Month
2019-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $32K
2019 51 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9009 Coordinated care fee, risk adjusted maintenance, level 3 144 142 $50K