Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › EAST BOSTON › FANTES, JACKIE

FANTES, JACKIE

NPI: 1275530719 · EAST BOSTON, MA 02128 · 207Q00000X

$1K
Total Medicaid Paid
40
Total Claims
40
Beneficiaries
3
Codes Billed
2021-10
First Month
2022-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12 $240.00
2022 28 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 16 16 $734.08
0054A 12 12 $362.64
90688 12 12 $240.00