Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ANNANDALE
› LEE, TAE YONG
LEE, TAE YONG
NPI: 1528244670 · ANNANDALE, VA 22003 ·
122300000X
$122K
Total Medicaid Paid
5,927
Total Claims
5,019
Beneficiaries
12
Codes Billed
2018-02
First Month
2024-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
382
$6K
2019
876
$14K
2020
309
$5K
2021
1,036
$28K
2022
1,507
$45K
2023
1,345
$24K
2024
472
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D1110
1,125
1,112
$41K
D0274
873
867
$18K
D0140
686
526
$13K
D0220
1,401
1,023
$11K
D0120
733
723
$11K
D0330
196
137
$7K
D0150
272
225
$7K
D0210
253
192
$7K
D2391
39
12
$3K
D0230
296
149
$3K
D1208
40
40
$498.96
D1999
13
13
$0.00