Medicaid Provider Spending

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

INTERVENTIONAL SPINE OF VERMONT, PLLC

NPI: 1497359103 · WILLISTON, VT 05495 · Pain Medicine (Anesthesiology) Physician · NPI assigned 11/23/2020

$4K
Total Medicaid Paid
44
Total Claims
42
Beneficiaries
1
Codes Billed
2022-09
First Month
2023-02
Last Month

Provider Details

Authorized OfficialCABALLERO-MANRIQUE, ESTHER (PHYSICIAN OWNER)
NPI Enumeration Date11/23/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 26 $2K
2023 18 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 44 42 $4K