Medicaid Provider Spending

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

1467877936

NPI: 1467877936

Deactivated NPI · This NPI was deactivated on 02/06/2023.
$437K
Total Medicaid Paid
15,759
Total Claims
13,757
Beneficiaries
23
Codes Billed
2018-01
First Month
2021-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,117 $122K
2019 5,905 $169K
2020 4,352 $133K
2021 385 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,021 5,304 $161K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,402 2,288 $106K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,942 1,814 $73K
95886 323 305 $22K
20610 1,020 756 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 237 212 $14K
73630 719 608 $10K
73562 643 559 $9K
73610 326 270 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 568 244 $5K
72110 194 183 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 899 829 $3K
11721 134 120 $2K
64483 14 12 $1K
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 94 68 $1K
73030 103 95 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $513.96
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 14 $290.22
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 18 14 $143.33
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 27 12 $141.44
73100 13 12 $133.54
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 14 13 $109.84
73502 17 12 $102.96