Medicaid Provider Spending

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

LAN, LI

NPI: 1366683112 · ANTIOCH, CA 94531 · 2084P0800X

$21K

Total Medicaid Paid

384

Total Claims

379

Beneficiaries

1

Codes Billed

2018-01

First Month

2020-02

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	229	$13K
2019	142	$7K
2020	13	$733.72

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90792		384	379	$21K