Medicaid Provider Spending

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

JOHNSON, MARY

NPI: 1386631729 · GOODLETTSVILLE, TN 37072 · Pediatrics Physician · NPI assigned 09/30/2005

$9K
Total Medicaid Paid
189
Total Claims
155
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 189 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 105 95 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 44 34 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16 14 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 12 $140.89