Medicaid Provider Spending

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

1578528626

NPI: 1578528626

Deactivated NPI · This NPI was deactivated on 06/28/2023.
$14K
Total Medicaid Paid
385
Total Claims
238
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 385 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 331 198 $13K
94690 20 15 $709.71
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 12 $663.55
93000 18 13 $168.17