Medicaid Provider Spending

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

CHARLES D. MANTER DO PC

NPI: 1457531808 · GREELEY, CO 80634 · 207Q00000X

$52K

Total Medicaid Paid

1,220

Total Claims

1,109

Beneficiaries

10

Codes Billed

2018-01

First Month

2018-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,220	$52K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213		448	401	$24K
99214		264	236	$19K
99203		69	69	$6K
90471		43	42	$795.06
87880		48	47	$723.33
87804		43	41	$538.65
36415		221	200	$399.90
94640		29	28	$313.62
96372		18	12	$256.28
81002		37	33	$86.84