Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1356863252

NPI: 1356863252

Deactivated NPI · This NPI was deactivated on 02/04/2026.
$4K
Total Medicaid Paid
119
Total Claims
112
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 16 $343.44
2024 103 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9150 Non-prescription drugs 103 100 $4K
0011A 16 12 $343.44