Medicaid Provider Spending

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

1366850091

NPI: 1366850091

Deactivated NPI · This NPI was deactivated on 02/19/2025.
$155K
Total Medicaid Paid
5,611
Total Claims
5,002
Beneficiaries
15
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,611 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 988 917 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,094 1,858 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 661 623 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 482 452 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 527 379 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 210 196 $4K
90715 17 17 $526.15
81003 281 250 $502.46
J1741 Injection, ibuprofen, 100 mg 39 39 $367.95
J0131 Injection, acetaminophen, not otherwise specified,10 mg 115 96 $238.47
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 16 $181.05
81025 62 54 $160.66
J0696 Injection, ceftriaxone sodium, per 250 mg 70 56 $119.70
81002 22 22 $36.21
J1885 Injection, ketorolac tromethamine, per 15 mg 27 27 $21.95