Medicaid Provider Spending

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

MANSUR, IZZUDDIN

NPI: 1508828344 · CROSSVILLE, TN 38555 · 208800000X

$12K

Total Medicaid Paid

2,063

Total Claims

1,602

Beneficiaries

3

Codes Billed

2018-01

First Month

2021-02

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	698	$4K
2019	696	$4K
2020	618	$3K
2021	51	$236.55

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213		1,005	773	$9K
99204		40	36	$2K
81002		1,018	793	$554.86