Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
PA
›
LAFAYETTE HILL
› FORM, JACOB
FORM, JACOB
NPI: 1356367494 · LAFAYETTE HILL, PA 19444 ·
213E00000X
$13K
Total Medicaid Paid
2,647
Total Claims
2,614
Beneficiaries
5
Codes Billed
2018-04
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
63
$0.00
2020
142
$336.23
2021
854
$5K
2022
752
$5K
2023
408
$2K
2024
428
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
11721
2,062
2,033
$10K
11720
520
516
$3K
99307
41
41
$401.94
11719
12
12
$0.00
99348
12
12
$0.00