Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › IRVINE › NUTRIBLE INC

NUTRIBLE INC

NPI: 1619606571 · IRVINE, CA 92618 · Primary Care Clinic/Center · NPI assigned 06/07/2022

$209K
Total Medicaid Paid
4,208
Total Claims
1,506
Beneficiaries
2
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIDDELL, KWAMANE (CEO)
NPI Enumeration Date06/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 210 $10K
2024 3,998 $198K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9977 Meals, per diem, not otherwise specified 3,683 993 $191K
S9470 Nutritional counseling, dietitian visit 525 513 $17K