Medicaid Provider Spending

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

WIDJAJA, ARMAND

NPI: 1336335322 · IRVINE, CA 92604 · 208000000X

$10K

Total Medicaid Paid

413

Total Claims

413

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	413	$10K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99391		186	186	$8K
92551		108	108	$1K
99173		78	78	$250.62
90658		17	17	$153.00
85999		24	24	$72.24