Medicaid Provider Spending

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

HARTONO, CHOLI

NPI: 1396703906 · HACKENSACK, NJ 07601 · 207RN0300X

$10K

Total Medicaid Paid

1,218

Total Claims

833

Beneficiaries

4

Codes Billed

2018-08

First Month

2024-01

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	65	$449.65
2019	227	$628.44
2020	190	$1K
2021	311	$803.20
2022	160	$2K
2023	240	$3K
2024	25	$1K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99214		628	443	$6K
99213		247	192	$3K
99232		233	112	$917.42
36415		110	86	$11.55