Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1689777435

NPI: 1689777435

Deactivated NPI · This NPI was deactivated on 11/04/2025.
$9K
Total Medicaid Paid
548
Total Claims
459
Beneficiaries
6
Codes Billed
2019-06
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 330 $6K
2020 205 $3K
2021 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90715 117 113 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 286 217 $3K
90732 12 12 $1K
90686 104 88 $1K
90471CG 16 16 $0.00
91301 13 13 $0.00