Medicaid Provider Spending

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

1487610838

NPI: 1487610838

Deactivated NPI · This NPI was deactivated on 06/17/2021.
$65K
Total Medicaid Paid
709
Total Claims
682
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 439 $42K
2019 254 $21K
2020 16 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 597 578 $51K
36825 12 12 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 100 92 $5K