Medicaid Provider Spending

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

EASTERN SHORE CHILDREN'S CLINIC, P.C.

NPI: 1447614854 · SPANISH FORT, AL 36527 · Pediatrics Physician · NPI assigned 04/12/2016

$2K
Total Medicaid Paid
44
Total Claims
38
Beneficiaries
2
Codes Billed
2018-11
First Month
2018-11
Last Month

Provider Details

Authorized OfficialLEE, HENRY (OFFICE MANAGER)
NPI Enumeration Date04/12/2016

Related Entities

Other providers sharing the same authorized official: LEE, HENRY

ProviderCityStateTotal Paid
PASSAIC BOARD OF EDUCATION PASSAIC NJ $32.73M
EASTERN SHORE CHILDREN'S CLINIC FAIRHOPE AL $7.58M
INTEGRATIVE SPORTS AND SPINE INC IRVINE CA $3.42M
DURABLE HEALTH MEDICAL SUPPLY LLC BROOKLYN NY $43K
PERMACARE LLC ST GEORGE UT $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 30 26 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 12 $924.94