Medicaid Provider Spending

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

STADALSKY, JOHN

NPI: 1699720250 · GOOSE CREEK, SC 29445 · Pediatrics Physician · NPI assigned 05/23/2006

$9K
Total Medicaid Paid
143
Total Claims
138
Beneficiaries
4
Codes Billed
2019-07
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 143 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62 58 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39 38 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 28 28 $353.08
90686 14 14 $0.00