Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WABOMNOR, GRACE
NPI: 1548725799 · SOUTH HOLLAND, IL 60473 ·
363LA2200X
$609K
Total Medicaid Paid
2,596
Total Claims
2,351
Beneficiaries
2
Codes Billed
2021-07
First Month
2023-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
633
$123K
2022
966
$242K
2023
997
$244K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99204
2,526
2,315
$596K
99214
70
36
$13K