Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › WEST JORDAN › PACKER, ALISSA

PACKER, ALISSA

NPI: 1669647566 · WEST JORDAN, UT 84088 · Pediatrics Physician · NPI assigned 04/23/2008

$101.64
Total Medicaid Paid
16
Total Claims
15
Beneficiaries
1
Codes Billed
2018-04
First Month
2018-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16 $101.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90472 Immunization administration, each additional vaccine (list separately) 16 15 $101.64