Medicaid Provider Spending

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

MARIANO PRIME LIMITED LIABILITY

NPI: 1609912229 · TAMUNING, GU 96913 · 333600000X

$5K
Total Medicaid Paid
504
Total Claims
484
Beneficiaries
3
Codes Billed
2019-12
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $97.20
2020 68 $592.20
2021 134 $1K
2022 87 $901.80
2023 163 $1K
2024 39 $372.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4211 Supp for self-adm injections 453 434 $4K
A4206 1 cc sterile syringe&needle 36 36 $329.62
A4253 Blood glucose/reagent strips 15 14 $199.68