Medicaid Provider Spending

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

1265465355

NPI: 1265465355

Deactivated NPI · This NPI was deactivated on 01/17/2024.
$328.72
Total Medicaid Paid
577
Total Claims
454
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $0.00
2019 56 $0.00
2020 133 $328.72
2021 327 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99442 71 69 $328.72
36415 Collection of venous blood by venipuncture 38 38 $0.00
1126F 50 50 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 16 $0.00
97802 50 50 $0.00
94760 41 41 $0.00
3008F 49 49 $0.00
99173 23 23 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 26 26 $0.00
92502 50 50 $0.00
99080 160 42 $0.00