Medicaid Provider Spending

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

SUNRISE OBSTETRICS AND GYNECOLOGY, LLC

NPI: 1427296003 · MANALAPAN, NJ 07726 · Obstetrics Physician · NPI assigned 02/04/2009

$40K
Total Medicaid Paid
1,317
Total Claims
1,096
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialPRZYTULA, ANA (OFFICE MANAGER)
NPI Enumeration Date02/04/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,317 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 589 476 $39K
81002 688 580 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $174.37
81025 26 26 $93.88