Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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JACKSON, AVERY
NPI: 1548798218 · GULFPORT, MS 39503 ·
363LF0000X
$22K
Total Medicaid Paid
627
Total Claims
490
Beneficiaries
3
Codes Billed
2023-09
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
52
$2K
2024
575
$20K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99214
333
266
$21K
80305
164
116
$939.42
80306
130
108
$256.79