Medicaid Provider Spending

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

PENN, EBONY

NPI: 1477137693 · BELLEVILLE, IL 62221 · 363LF0000X

$135K
Total Medicaid Paid
7,096
Total Claims
6,335
Beneficiaries
22
Codes Billed
2022-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 771 $41K
2023 3,370 $50K
2024 2,955 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99345 Prolong home eval add 15m 592 533 $77K
96127 854 768 $43K
99350 Prolong home eval add 15m 157 128 $15K
96161 15 14 $213.15
83037 24 21 $35.52
1160F 1,010 899 $10.10
1159F 1,009 897 $10.09
G8427 Docrev cur meds by elig clin 1,008 896 $10.08
3016F 776 683 $7.76
G8510 Scr dep neg, no plan reqd 657 603 $6.57
1126F 481 425 $4.81
3074F 162 148 $1.62
1125F 154 143 $1.54
G9226 3 comp foot exam completed 41 33 $0.41
G8431 Pos clin depres scrn f/u doc 39 37 $0.39
4010F 28 27 $0.28
1158F 15 13 $0.15
99501 15 14 $0.15
1170F 15 13 $0.15
2023F 15 13 $0.15
3075F 15 15 $0.15
3044F 14 12 $0.14