Medicaid Provider Spending

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

ROSTVOLD, KIMBERLY

NPI: 1417479700 · HERMANTOWN, MN 55811 · 122300000X

$1K

Total Medicaid Paid

63

Total Claims

63

Beneficiaries

4

Codes Billed

2018-10

First Month

2018-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	63	$1K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1120		16	16	$485.00
D1206		18	18	$340.25
D0120		16	16	$320.00
D0272		13	13	$208.00