Medicaid Provider Spending

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

LITSEY, JESSICA

NPI: 1578900437 · SUMMERVILLE, SC 29485 · Pediatrics Physician · NPI assigned 05/31/2013

$5K
Total Medicaid Paid
73
Total Claims
72
Beneficiaries
3
Codes Billed
2019-07
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 73 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30 30 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 25 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 17 17 $214.37