Medicaid Provider Spending

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

JACKMAN, KYLE

NPI: 1659782969 · OGDEN, UT 84414 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/09/2014

$32K
Total Medicaid Paid
558
Total Claims
527
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 113 $6K
2019 139 $6K
2020 267 $16K
2021 39 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 491 461 $30K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25 24 $907.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 23 23 $310.02
90686 19 19 $0.00