Medicaid Provider Spending

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

22 SOUTH STREET OPERATIONS LLC

NPI: 1518148030 · VERNON ROCKVILLE, CT 06066 · 314000000X

$1K
Total Medicaid Paid
311
Total Claims
36
Beneficiaries
2
Codes Billed
2021-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 145 $72.21
2023 166 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 245 24 $880.98
97110 66 12 $382.13