Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MCCALL, JACK
NPI: 1629237763 · BETHANY, MO 64424 ·
1223G0001X
$48K
Total Medicaid Paid
2,222
Total Claims
2,132
Beneficiaries
9
Codes Billed
2018-01
First Month
2020-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
946
$26K
2019
895
$14K
2020
381
$8K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
932
905
$19K
D1120
681
664
$12K
D1110
232
218
$5K
D2392
57
37
$4K
D0150
61
51
$3K
D0272
116
116
$2K
D1206
101
101
$1K
D2391
14
12
$770.00
D0274
28
28
$423.00