Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › MOORESTOWN › DALLAS, KELLY

DALLAS, KELLY

NPI: 1497091193 · MOORESTOWN, NJ 08057 · Physician Assistant · NPI assigned 12/27/2012

$7K
Total Medicaid Paid
122
Total Claims
119
Beneficiaries
3
Codes Billed
2020-02
First Month
2020-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 122 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 91 89 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 17 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $121.03