Medicaid Provider Spending

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

1639259534

NPI: 1639259534

Deactivated NPI · This NPI was deactivated on 11/25/2020.
$200K
Total Medicaid Paid
9,304
Total Claims
6,213
Beneficiaries
14
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,834 $105K
2019 4,079 $85K
2020 391 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,727 2,491 $148K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,017 1,297 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 183 156 $12K
J2010 Injection, lincomycin hcl, up to 300 mg 853 542 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 79 64 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 143 89 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 95 84 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 98 37 $817.40
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 13 $724.79
J1885 Injection, ketorolac tromethamine, per 15 mg 671 477 $526.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,333 887 $375.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 34 28 $311.36
90674 22 19 $144.30
36415 Collection of venous blood by venipuncture 36 29 $51.30