Medicaid Provider Spending

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

NPI: 1306995642 · ITHACA, NY 14850 · State or Local Public Health Clinic/Center · NPI assigned 01/09/2007

$2K
Total Medicaid Paid
223
Total Claims
212
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGRINNELL-CROSBY, BRENDA (PUBLIC HEALTH ADMINISTRATOR)
NPI Enumeration Date01/09/2007

Related Entities

Other providers sharing the same authorized official: GRINNELL-CROSBY, BRENDA

ProviderCityStateTotal Paid
TOMPKINS COUNTY HEALTH DEPARTMENT ITHACA NY $697K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $388.24
2019 47 $538.51
2022 78 $1K
2023 14 $100.70
2024 40 $331.07

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 111 100 $1K
90686 47 47 $657.39
0134A 13 13 $400.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $45.00
90715 14 14 $28.97
91313 13 13 $0.00
90734 12 12 $0.00