Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
CA
›
TUSTIN
› MENON, MOOTHEDATH
MENON, MOOTHEDATH
NPI: 1336134014 · TUSTIN, CA 92780 ·
207RG0100X
$657K
Total Medicaid Paid
8,176
Total Claims
8,080
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,845
$153K
2019
1,699
$157K
2020
1,037
$66K
2021
1,252
$91K
2022
1,227
$99K
2023
604
$43K
2024
512
$48K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
45380
1,190
1,178
$290K
43239
787
782
$148K
99203
2,263
2,255
$105K
99213
2,807
2,749
$59K
99214
665
654
$21K
99222
191
191
$12K
99204
168
167
$11K
45385
25
25
$7K
99215
Prolong outpt/office vis
80
79
$4K