Medicaid Provider Spending

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

MONTOYA, EDWARD

NPI: 1396983037 · ELIZABETH, NJ 07202 · 213ES0103X

$1.09M
Total Medicaid Paid
23,753
Total Claims
20,066
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,020 $113K
2019 3,999 $115K
2020 2,900 $88K
2021 4,051 $257K
2022 3,319 $195K
2023 3,091 $205K
2024 2,373 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
L3000 Ft insert ucb berkeley shell 3,207 1,393 $459K
99213 9,757 8,706 $351K
99203 3,879 3,825 $209K
29540 1,399 1,073 $25K
L1902 Afo ankle gauntlet pre ots 188 129 $8K
L4396 Static or dynami afo pre cst 106 63 $8K
11721 1,765 1,658 $6K
11056 1,554 1,518 $5K
17110 162 121 $5K
99212 116 112 $3K
20605 187 173 $3K
20550 169 143 $3K
36415 701 666 $1K
11750 16 12 $866.48
J1100 Dexamethasone sodium phos 547 474 $480.28