Medicaid Provider Spending

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

FORMAGGIO, JAYMI

NPI: 1730135211 · CHELMSFORD, MA 01824 · Pediatrics Physician · NPI assigned 05/26/2006

$4K
Total Medicaid Paid
76
Total Claims
70
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 76 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 17 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 16 12 $335.36
87430 15 15 $203.70
87081 12 12 $94.44