Medicaid Provider Spending

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

GREEN ROAD PEDIATRICS, INC.

NPI: 1396822847 · SOUTH EUCLID, OH 44121 · Pediatrics Physician · NPI assigned 11/01/2006

$11K
Total Medicaid Paid
557
Total Claims
428
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialLESLIE, JAMES (PRESIDENT)
NPI Enumeration Date11/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341 $7K
2019 216 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 326 208 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 98 92 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26 26 $2K
90688 107 102 $0.00