Medicaid Provider Spending

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

DETTRA, JESSICA

NPI: 1467774554 · MESA, AZ 85215 · Physician Assistant · NPI assigned 02/17/2010

$828.00
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2018-07
First Month
2018-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $828.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $828.00