Medicaid Provider Spending

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

KOETS, DONALD

NPI: 1689667016 · SUMMERVILLE, SC 29483 · 152W00000X

$4K

Total Medicaid Paid

152

Total Claims

151

Beneficiaries

3

Codes Billed

2018-04

First Month

2018-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	152	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92004		25	25	$2K
92015		90	89	$2K
92340		37	37	$444.00