Medicaid Provider Spending

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

HERMON, MANORAMA

NPI: 1639268766 · ROCK FALLS, IL 61071 · Pediatrics Physician · NPI assigned 10/12/2006

$14K
Total Medicaid Paid
386
Total Claims
336
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 386 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 220 191 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 42 36 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 12 $1K
92551 58 49 $790.40
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $783.55
99173 40 36 $230.95