Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› WALLACE-JACKSON, PANORA
WALLACE-JACKSON, PANORA
NPI: 1336329291 · HARTSVILLE, SC 29550 ·
101Y00000X
$143K
Total Medicaid Paid
1,282
Total Claims
521
Beneficiaries
1
Codes Billed
2018-01
First Month
2023-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
456
$51K
2019
489
$55K
2020
289
$32K
2021
21
$2K
2023
27
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90837
1,282
521
$143K