Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DEJESUS, LISA
NPI: 1700410628 · TIVERTON, RI 02878 ·
363LP0808X
$576.77
Total Medicaid Paid
13
Total Claims
12
Beneficiaries
1
Codes Billed
2024-12
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2024
13
$576.77
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90833
13
12
$576.77