Medicaid Provider Spending

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

1396831269

NPI: 1396831269

Deactivated NPI · This NPI was deactivated on 09/25/2025.
$859.34
Total Medicaid Paid
114
Total Claims
95
Beneficiaries
4
Codes Billed
2018-03
First Month
2020-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $305.85
2019 16 $553.49
2020 15 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63 55 $680.99
J3250 Injection, trimethobenzamide hcl, up to 200 mg 15 13 $178.35
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21 15 $0.00