Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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TIDEWATER LLC
NPI: 1306359054 · PRINCE FREDERICK, MD 20678 ·
122300000X
$74K
Total Medicaid Paid
2,529
Total Claims
2,469
Beneficiaries
12
Codes Billed
2018-10
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
53
$2K
2019
514
$15K
2020
353
$8K
2021
290
$9K
2022
574
$16K
2023
239
$7K
2024
506
$18K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1206
1,069
1,049
$26K
D1120
413
411
$18K
D0120
584
572
$17K
D1110
72
72
$5K
D0274
110
103
$2K
D0150
36
35
$2K
D0220
155
144
$1K
D0210
16
16
$912.00
D0140
17
17
$803.42
D0330
13
13
$546.00
D9230
12
12
$216.00
D0230
32
25
$145.28