Medicaid Provider Spending

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

1699145326

NPI: 1699145326

Deactivated NPI · This NPI was deactivated on 03/28/2025.
$139K
Total Medicaid Paid
1,530
Total Claims
1,513
Beneficiaries
4
Codes Billed
2020-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 49 $3K
2021 222 $15K
2022 352 $25K
2023 452 $28K
2024 455 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4238 Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 201 200 $52K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 623 616 $42K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 686 677 $39K
E2102 Adjunctive, non-implanted continuous glucose monitor or receiver 20 20 $4K