Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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JACKSON HTS
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LEGACY MEDICAL PLLC
NPI: 1457609653 · JACKSON HTS, NY 11372 ·
2084N0400X
$77K
Total Medicaid Paid
571
Total Claims
569
Beneficiaries
11
Codes Billed
2019-07
First Month
2020-01
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
277
$32K
2020
294
$45K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
93890
75
75
$17K
93886
75
75
$17K
93892
75
75
$16K
92546
62
62
$6K
92540
62
62
$5K
93923
30
30
$3K
92548
56
56
$3K
95923
30
30
$3K
95912
14
12
$2K
92537
62
62
$2K
95921
30
30
$2K