Medicaid Provider Spending

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

DELVALLE, ANTOINETTE

NPI: 1285826248 · RANCHO SANTA MARGARITA, CA 92688 · 208000000X

$10K

Total Medicaid Paid

581

Total Claims

553

Beneficiaries

10

Codes Billed

2018-12

First Month

2022-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	18	$95.91
2019	533	$10K
2022	30	$140.36

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99214		350	334	$8K
99391		18	16	$824.60
99393		12	12	$678.84
99392		13	13	$626.99
87430		29	29	$158.83
99213		18	15	$140.36
90707		13	12	$117.00
94760		17	17	$5.59
97802		12	12	$0.00
99050		99	93	$0.00