Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › LAUDERDALE LAKES › DETRES, JAVIETH

DETRES, JAVIETH

NPI: 1649404195 · LAUDERDALE LAKES, FL 33313 · 207R00000X

$10K
Total Medicaid Paid
575
Total Claims
157
Beneficiaries
2
Codes Billed
2018-02
First Month
2018-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 575 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 532 143 $9K
99233 Prolong inpt eval add15 m 43 14 $828.00