Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › SHOREVIEW › BOULOS, SAMY

BOULOS, SAMY

NPI: 1275775348 · SHOREVIEW, MN 55126 · 1223G0001X

$49K
Total Medicaid Paid
3,751
Total Claims
3,379
Beneficiaries
12
Codes Billed
2018-01
First Month
2023-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,539 $5K
2019 942 $35K
2020 98 $4K
2021 60 $1K
2022 59 $2K
2023 53 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 746 728 $17K
D0274 635 621 $10K
D0120 510 496 $8K
D2392 426 244 $6K
D1206 389 376 $3K
D0150 269 268 $2K
D0140 175 170 $1K
D0220 198 191 $482.56
D1120 57 57 $421.07
D0330 44 43 $63.07
D2391 213 118 $0.00
D2393 89 67 $0.00