Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BUCK JACK LLC
NPI: 1356954424 · FOUNTAIN, CO 80817 ·
103K00000X
$73K
Total Medicaid Paid
380
Total Claims
261
Beneficiaries
4
Codes Billed
2021-08
First Month
2022-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
196
$36K
2022
184
$37K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
96133
265
169
$59K
96137
68
51
$10K
96132
34
29
$4K
96136
13
12
$762.60