Medicaid Provider Spending

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

GALLUP, ADA

NPI: 1316309495 · COLUMBIA, MO 65202 · 101YP2500X

$46K

Total Medicaid Paid

926

Total Claims

583

Beneficiaries

1

Codes Billed

2018-01

First Month

2020-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	397	$19K
2019	402	$20K
2020	127	$6K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90834		926	583	$46K