Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1518127562
NPI: 1518127562
Deactivated NPI
· This NPI was deactivated on 07/30/2024.
$1K
Total Medicaid Paid
84
Total Claims
83
Beneficiaries
4
Codes Billed
2018-10
First Month
2021-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
41
$481.00
2019
13
$0.00
2021
30
$743.68
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0064A
16
16
$567.84
90674
22
22
$481.00
90471
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine
14
14
$175.84
S9430
Pharmacy compounding and dispensing services
32
31
$0.00