Medicaid Provider Spending

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

PAVOLOTSKY, KONSTANTIN

NPI: 1407864259 · MAYFIELD HEIGHTS, OH 44124 · 122300000X

$11K

Total Medicaid Paid

1,260

Total Claims

1,223

Beneficiaries

3

Codes Billed

2018-01

First Month

2022-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	453	$4K
2019	445	$3K
2020	196	$2K
2021	109	$850.52
2022	57	$440.84

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		610	589	$7K
D0120		530	515	$3K
D0274		120	119	$840.00