Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1265535967
NPI: 1265535967
Deactivated NPI
· This NPI was deactivated on 11/04/2025.
$16K
Total Medicaid Paid
741
Total Claims
655
Beneficiaries
6
Codes Billed
2019-09
First Month
2021-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
117
$2K
2020
144
$1K
2021
480
$14K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0001A
121
120
$7K
0002A
108
107
$7K
90471
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine
130
111
$1K
90686
116
94
$1K
91300
251
208
$0.00
90471CG
15
15
$0.00