Medicaid Provider Spending

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

1700952108

NPI: 1700952108

Deactivated NPI · This NPI was deactivated on 10/27/2022.
$481K
Total Medicaid Paid
4,581
Total Claims
2,252
Beneficiaries
9
Codes Billed
2018-04
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 188 $18K
2019 719 $57K
2020 1,583 $155K
2021 1,257 $152K
2022 834 $100K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,873 864 $199K
99215 Prolong outpt/office vis 1,062 512 $162K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,292 659 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 282 156 $13K
95913 17 12 $3K
99205 Prolong outpt/office vis 13 13 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 12 $2K
95922 13 12 $739.44
95921 13 12 $0.00