Medicaid Provider Spending

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

1265521165

NPI: 1265521165

Deactivated NPI · This NPI was deactivated on 11/01/2023.
$383K
Total Medicaid Paid
8,277
Total Claims
7,355
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,248 $52K
2019 1,597 $63K
2020 1,783 $71K
2021 1,502 $78K
2022 1,323 $71K
2023 824 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,581 4,826 $340K
99407 1,546 1,436 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 303 272 $14K
90674 165 164 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 187 173 $978.54
36410 157 151 $690.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 74 73 $457.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 38 38 $438.06
G0008 Administration of influenza virus vaccine 180 177 $386.75
90686 12 12 $212.19
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 34 33 $48.99