Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LICUP, NERISSA
NPI: 1720269731 · KINGSPORT, TN 37660 ·
390200000X
$35K
Total Medicaid Paid
1,723
Total Claims
1,498
Beneficiaries
6
Codes Billed
2018-01
First Month
2020-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
658
$15K
2019
598
$10K
2020
467
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99214
981
849
$23K
99213
655
574
$12K
90686
35
31
$232.81
99442
17
13
$101.48
90471
23
19
$61.52
G0008
Admin influenza virus vac
12
12
$0.00