Medicaid Provider Spending

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

1508057639

NPI: 1508057639

Deactivated NPI · This NPI was deactivated on 07/01/2022.
$160K
Total Medicaid Paid
1,189
Total Claims
1,126
Beneficiaries
6
Codes Billed
2019-10
First Month
2022-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 194 $21K
2020 485 $63K
2021 295 $47K
2022 215 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93975 301 299 $78K
76830 Ultrasound, transvaginal 412 405 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 409 357 $28K
58558 12 12 $16K
93976 43 41 $6K
57180 12 12 $1K