Medicaid Provider Spending

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

DAVIS, LARRY

NPI: 1699715888 · KENOSHA, WI 53142 · Pediatrics Physician · NPI assigned 06/07/2006

$6K
Total Medicaid Paid
184
Total Claims
165
Beneficiaries
4
Codes Billed
2018-03
First Month
2019-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 168 $5K
2019 16 $744.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 121 103 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 14 $209.59
90686 13 13 $102.23
90460 Immunization administration through 18 years of age via any route, first or only component 36 35 $0.00