Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › TUSTIN › 111 FASHION LANE LLC

111 FASHION LANE LLC

NPI: 1265006258 · TUSTIN, CA 92780 · 261QA0600X

$1.49M
Total Medicaid Paid
21,051
Total Claims
1,289
Beneficiaries
1
Codes Billed
2022-11
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 456 $35K
2023 10,209 $787K
2024 10,386 $670K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Adult day care per diem 21,051 1,289 $1.49M