Medicaid Provider Spending

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

MONDESTIN PEDIATRICS LLC

NPI: 1518516814 · TRENTON, NJ 08638 · Pediatrics Physician · NPI assigned 09/09/2019

$1K
Total Medicaid Paid
26
Total Claims
24
Beneficiaries
1
Codes Billed
2020-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialYAMIJALA, KALYAN (BILLER)
NPI Enumeration Date09/09/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $650.00
2024 13 $674.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 26 24 $1K