Medicaid Provider Spending

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

LAKE, MOSUNMOLA

NPI: 1275050288 · BERWYN HEIGHTS, MD 20740 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 08/29/2017

$41K
Total Medicaid Paid
346
Total Claims
323
Beneficiaries
4
Codes Billed
2018-04
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 115 $19K
2019 231 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 153 137 $16K
99205 Prolong outpt/office vis 77 73 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 104 101 $7K
99215 Prolong outpt/office vis 12 12 $2K