Medicaid Provider Spending

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

SOUZA, COURTNEY

NPI: 1457739583 · WEATOGUE, CT 06089 · Pediatrics Physician · NPI assigned 05/08/2015

$34K
Total Medicaid Paid
612
Total Claims
603
Beneficiaries
5
Codes Billed
2018-10
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $4K
2019 400 $23K
2020 140 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 493 484 $28K
96112 43 43 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 51 51 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $118.73