Medicaid Provider Spending

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

BOLANOS, LUIS

NPI: 1285687673 · AURORA, IL 60504 · 208000000X

$1.53M
Total Medicaid Paid
41,095
Total Claims
34,067
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,542 $250K
2019 8,178 $268K
2020 6,080 $208K
2021 6,039 $217K
2022 4,998 $197K
2023 5,426 $229K
2024 2,832 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 6,650 5,434 $313K
99392 3,398 2,615 $258K
99391 2,746 2,174 $188K
99393 2,241 2,062 $170K
99394 1,906 1,721 $158K
99214 718 644 $58K
90686 4,498 3,875 $47K
96127 2,842 2,370 $43K
96110 2,223 1,795 $36K
90670 1,707 1,416 $29K
D1206 1,030 736 $27K
90677 250 205 $23K
90651 764 672 $21K
90698 1,323 1,149 $15K
95930 299 148 $14K
90633 990 739 $10K
99211 825 733 $10K
90680 802 730 $9K
90734 423 387 $7K
87651 173 150 $7K
0071A 159 152 $7K
0072A 137 137 $6K
90744 497 434 $5K
90620 329 299 $5K
0001A 122 122 $5K
92558 433 299 $5K
90648 572 427 $5K
87804 171 123 $5K
90723 352 256 $4K
0124A 97 82 $4K
0002A 97 97 $4K
87635 71 70 $4K
87880 210 190 $3K
90681 111 94 $3K
90619 125 120 $2K
0081A 48 37 $2K
0054A 50 48 $2K
99383 21 20 $2K
90715 152 128 $2K
91320 30 30 $1K
99173 106 78 $789.70
91319 18 17 $784.80
91318 17 15 $741.20
99203 19 14 $730.35
99212 28 25 $718.20
90696 87 83 $550.40
90685 65 45 $434.80
94760 150 104 $391.60
90710 57 57 $358.40
90716 37 36 $236.80
90707 25 25 $160.00
A4556 Electrodes, pair 80 57 $83.32
A6411 Non-sterile eye pad 291 127 $44.16
A4558 Conductive gel or paste 80 57 $34.39
90471 287 262 $0.00
91307 34 29 $0.00
90472 64 62 $0.00
99177 42 41 $0.00
90460 16 13 $0.00