Medicaid Provider Spending

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

CLINTON COUNTY

NPI: 1700814704 · CARLYLE, IL 62231 · Community Health Registered Nurse · NPI assigned 06/29/2006

$15K
Total Medicaid Paid
1,247
Total Claims
1,195
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialLEIDEL, CHRIS (ADMINISTRATOR)
NPI Enumeration Date06/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 398 $5K
2019 478 $6K
2020 153 $2K
2022 30 $369.00
2023 174 $2K
2024 14 $118.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 935 894 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 227 221 $3K
96127 59 56 $773.80
D1206 Topical application of fluoride varnish 26 24 $650.00