Medicaid Provider Spending

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

CORRAL DELACRUZ, JESSICA

NPI: 1720343346 · NORTH AUGUSTA, SC 29841 · Pediatrics Physician · NPI assigned 07/10/2012

$2K
Total Medicaid Paid
51
Total Claims
51
Beneficiaries
3
Codes Billed
2019-03
First Month
2019-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 51 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 26 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $177.71
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $151.32