Medicaid Provider Spending

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

HANSOM, DIESAWIT

NPI: 1689391633 · LIBERTYVILLE, IL 60048 · Family Nurse Practitioner · NPI assigned 10/20/2022

$39K
Total Medicaid Paid
1,021
Total Claims
982
Beneficiaries
12
Codes Billed
2023-05
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 993 $37K
2024 28 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 250 232 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 144 138 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 126 126 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 76 75 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 40 37 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 72 72 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 125 122 $2K
99244 Office or other outpatient consultation, moderate to high complexity 14 13 $1K
81025 58 56 $293.13
81002 88 84 $220.92
87807 14 14 $140.84
S9083 Global fee urgent care centers 14 13 $0.00