Medicaid Provider Spending

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

PONTIAC-WM HOLLIDAY SD 105

NPI: 1598804031 · FAIRVIEW HEIGHTS, IL 62208 · Local Education Agency (LEA) · NPI assigned 02/05/2007

$10K
Total Medicaid Paid
1,156
Total Claims
184
Beneficiaries
1
Codes Billed
2018-10
First Month
2019-12
Last Month

Provider Details

Authorized OfficialSY, DARRELL (SUPERINTENDENT)
NPI Enumeration Date02/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 215 $2K
2019 941 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 1,156 184 $10K