Medicaid Provider Spending

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

1457637183

NPI: 1457637183

Deactivated NPI · This NPI was deactivated on 04/19/2022.
$88K
Total Medicaid Paid
372
Total Claims
283
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 372 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 138 112 $59K
S9340 Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 64 52 $15K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 122 92 $12K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 27 15 $1K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 21 12 $332.91