Medicaid Provider Spending

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

LOO, MILAGROS

NPI: 1417140047 · BALDWIN PARK, CA 91706 · 1223G0001X

$58K

Total Medicaid Paid

1,375

Total Claims

756

Beneficiaries

11

Codes Billed

2022-04

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	13	$792.00
2023	43	$2K
2024	1,319	$55K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D2392		356	99	$24K
D0150		160	160	$10K
D2391		134	35	$7K
D9210		183	124	$7K
D0210		98	98	$5K
D1320		126	126	$2K
D0230		223	59	$886.95
D0120		18	17	$825.00
D0350		52	13	$499.20
D9430		12	12	$384.00
D1208		13	13	$178.00