Medicaid Provider Spending

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

1689382400

NPI: 1689382400

Deactivated NPI · This NPI was deactivated on 07/21/2023.
$41.22
Total Medicaid Paid
1,189
Total Claims
1,074
Beneficiaries
12
Codes Billed
2023-03
First Month
2023-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,189 $41.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90715 43 43 $41.22
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 16 16 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 724 628 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 188 171 $0.00
85018 13 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 48 $0.00
81003 31 30 $0.00
81025 15 15 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 41 41 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 32 $0.00