Medicaid Provider Spending

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

1629066139

NPI: 1629066139

Deactivated NPI · This NPI was deactivated on 11/06/2025.
$6K
Total Medicaid Paid
22,668
Total Claims
21,204
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,247 $3K
2019 5,423 $950.48
2020 2,898 $150.68
2021 1,174 $98.09
2022 2,298 $78.37
2023 5,852 $893.87
2024 1,776 $636.66

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,890 7,071 $5K
90688 500 497 $181.10
90662 13 13 $143.50
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 741 737 $37.50
3008F 1,398 1,346 $26.76
96127 21 21 $19.24
90686 26 26 $18.00
99497 215 212 $17.11
G0442 Annual alcohol misuse screening, 5 to 15 minutes 293 290 $16.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 734 727 $9.00
1159F 1,420 1,362 $0.00
1160F 1,741 1,671 $0.00
3078F 1,309 1,253 $0.00
G9905 Patient not screened for tobacco use 45 44 $0.00
3077F 483 462 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 326 273 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 150 147 $0.00
4004F 82 71 $0.00
90750 22 22 $0.00
3075F 417 405 $0.00
3080F 492 473 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 678 664 $0.00
3074F 1,680 1,581 $0.00
3079F 720 688 $0.00
1036F 568 516 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 238 235 $0.00
96156 42 42 $0.00
99441 396 327 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 28 28 $0.00