Medicaid Provider Spending

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

KOOISTRA, RALPH

NPI: 1528193745 · GAYLORD, MI 49735 · 1223G0001X

$2K

Total Medicaid Paid

95

Total Claims

93

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-03

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	95	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D0120		46	46	$1K
D1120		18	17	$560.87
D1206		18	18	$400.54
D0272		13	12	$250.00