Medicaid Provider Spending

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

DIVINITY PEDIATRIC CLINIC, PLLC

NPI: 1629741152 · PEARL, MS

$7K
Total Medicaid Paid
387
Total Claims
267
Beneficiaries
4
Codes Billed
2022-04
First Month
2022-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 387 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 229 162 $4K
99203 101 68 $2K
87804 13 12 $80.46
99401 44 25 $0.00