Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › FENTON › SUMOZA, ILIA

SUMOZA, ILIA

NPI: 1548447113 · FENTON, MO 63026 · 207RH0003X

$4K
Total Medicaid Paid
95
Total Claims
89
Beneficiaries
2
Codes Billed
2021-10
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $519.99
2022 30 $1K
2023 27 $1K
2024 25 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 80 76 $4K
99215 Prolong outpt/office vis 15 13 $705.03