Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PELZER, SHELBY
NPI: 1679098016 · DAVENPORT, IA 52807 ·
363LP0200X
$25K
Total Medicaid Paid
691
Total Claims
563
Beneficiaries
8
Codes Billed
2019-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
291
$9K
2020
145
$1K
2024
255
$15K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99213
460
379
$16K
99214
67
57
$6K
87651
56
48
$2K
87502
14
14
$1K
99392
14
12
$679.40
87880
51
28
$410.96
90471
15
13
$163.68
90686
14
12
$134.60