Medicaid Provider Spending

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

MONTANA, CORAL

NPI: 1629637335 · NEW HARTFORD, NY 13413 · 363LP0200X

$204.88

Total Medicaid Paid

14

Total Claims

12

Beneficiaries

1

Codes Billed

2024-10

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	14	$204.88

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
96110		14	12	$204.88