Medicaid Provider Spending

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

PETERSON, DAKOTA

NPI: 1316513773 · NEW CASTLE, PA 16101 · 208000000X

$77K
Total Medicaid Paid
2,585
Total Claims
2,539
Beneficiaries
29
Codes Billed
2024-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,585 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 404 371 $21K
99214 215 207 $18K
99392 100 100 $10K
99393 103 103 $10K
99391 101 100 $9K
99394 77 77 $8K
87880 72 71 $1K
99188 15 15 $297.00
92551 160 160 $137.62
99177 78 78 $132.15
96127 107 107 $123.20
96160 107 107 $107.20
80061 32 32 $72.63
96110 213 213 $64.68
99173 39 39 $54.37
90619 25 25 $0.00
96161 72 72 $0.00
90677 67 67 $0.00
G8510 Scr dep neg, no plan reqd 101 98 $0.00
90723 50 50 $0.00
90651 18 18 $0.00
90656 18 18 $0.00
85018 12 12 $0.00
90661 131 131 $0.00
G9920 Scrning perf and negative 172 172 $0.00
90648 53 53 $0.00
G9919 Scrn nd pos nd prov of rec 15 15 $0.00
90633 13 13 $0.00
83655 15 15 $0.00