Medicaid Provider Spending

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

COUNTY OF GRAY

NPI: 1710957089 · CIMARRON, KS 67835 · Public Health or Welfare Agency · NPI assigned 01/26/2006

$36K
Total Medicaid Paid
1,743
Total Claims
1,690
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMADDOX, RAYNA (DIRECTOR)
NPI Enumeration Date01/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 397 $7K
2019 387 $9K
2020 446 $9K
2021 218 $4K
2022 151 $3K
2023 74 $1K
2024 70 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1001 Nursing assessment / evaluation 661 641 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 664 639 $12K
90472 Immunization administration, each additional vaccine (list separately) 141 137 $5K
90686 249 245 $442.98
90651 12 12 $0.00
90734 16 16 $0.00