Medicaid Provider Spending

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

VAN BLACK, KYLA

NPI: 1689058950 · BOLIVAR, MO 65613 · 235Z00000X

$55K

Total Medicaid Paid

630

Total Claims

165

Beneficiaries

1

Codes Billed

2018-01

First Month

2020-06

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	538	$45K
2020	92	$10K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92507		630	165	$55K