Medicaid Provider Spending

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

PACIFIC PEDIATRICS, LLC

NPI: 1629543046 · KETCHIKAN, AK 99901 · Pediatrics Physician · NPI assigned 10/11/2018

$18K
Total Medicaid Paid
121
Total Claims
103
Beneficiaries
1
Codes Billed
2019-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialROSIER, ELISA (PEDIATRICIAN/OWNER)
NPI Enumeration Date10/11/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 93 $14K
2021 28 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 121 103 $18K