Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FOUNTAIN VALLEY
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LE, TAM
NPI: 1699770370 · FOUNTAIN VALLEY, CA 92708 ·
208C00000X
$74K
Total Medicaid Paid
2,546
Total Claims
2,350
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-07
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
733
$18K
2019
450
$19K
2020
452
$16K
2021
472
$14K
2022
249
$3K
2023
190
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99204
285
265
$19K
99222
429
412
$18K
99213
1,232
1,105
$17K
99203
533
529
$17K
46221
19
13
$1K
99231
48
26
$770.58