Medicaid Provider Spending

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

MARIANO PRIME LIMITED LIABILITY

NPI: 1518003136 · DEDEDO, GU 96929 · 333600000X

$13K
Total Medicaid Paid
1,418
Total Claims
1,383
Beneficiaries
3
Codes Billed
2020-03
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 107 $982.80
2021 173 $2K
2022 462 $5K
2023 373 $4K
2024 303 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4211 Supp for self-adm injections 837 815 $8K
A4253 Blood glucose/reagent strips 428 416 $5K
A4259 Lancets per box 153 152 $217.26