Medicaid Provider Spending

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

MARANATHA HEALTHCARE PC

NPI: 1679896716 · SAINT LOUIS, MO 63136 · General Practice Physician · NPI assigned 03/03/2010

$28K
Total Medicaid Paid
573
Total Claims
563
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialLIPEDE, ADELUOLA (PRESIDENT)
NPI Enumeration Date03/03/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 573 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 287 284 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 215 208 $6K
99349 38 38 $3K
99350 Prolong home eval add 15m 33 33 $3K