Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› PETALUMAIDENCE OPCO, LLC
PETALUMAIDENCE OPCO, LLC
NPI: 1356883805 · PETALUMA, CA 94954 ·
314000000X
$18K
Total Medicaid Paid
73
Total Claims
68
Beneficiaries
1
Codes Billed
2022-04
First Month
2024-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
42
$11K
2023
13
$2K
2024
18
$6K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99304
73
68
$18K