Medicaid Provider Spending

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

1578033577

NPI: 1578033577

Deactivated NPI · This NPI was deactivated on 10/05/2021.
$443K
Total Medicaid Paid
5,088
Total Claims
4,511
Beneficiaries
8
Codes Billed
2019-04
First Month
2021-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,851 $146K
2020 1,939 $165K
2021 1,298 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,554 1,408 $164K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,994 1,811 $139K
17110 716 528 $71K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 373 373 $37K
11401 117 94 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 280 243 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 29 $2K