Medicaid Provider Spending

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

1730218959

NPI: 1730218959

Deactivated NPI · This NPI was deactivated on 01/03/2023.
$94K
Total Medicaid Paid
23,593
Total Claims
8,978
Beneficiaries
23
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,142 $0.00
2019 7,380 $9K
2020 4,804 $44K
2021 5,267 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90999 Unlisted dialysis procedure, inpatient or outpatient 9,594 769 $93K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 385 117 $369.45
J1270 Injection, doxercalciferol, 1 mcg 3,042 281 $0.00
82040 847 787 $0.00
84132 1,261 792 $0.00
84075 846 788 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 932 79 $0.00
85027 188 187 $0.00
85018 205 172 $0.00
G0008 Administration of influenza virus vaccine 45 44 $0.00
83550 68 60 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 30 29 $0.00
36415 Collection of venous blood by venipuncture 29 18 $0.00
90674 15 15 $0.00
82565 855 787 $0.00
84520 1,501 791 $0.00
82310 932 785 $0.00
84460 849 788 $0.00
84100 994 791 $0.00
82374 844 787 $0.00
82947 39 27 $0.00
83970 24 24 $0.00
83540 68 60 $0.00