Medicaid Provider Spending

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

HAN, SUL KI

NPI: 1750802195 · LA MESA, CA 91942 · 152W00000X

$932.51

Total Medicaid Paid

26

Total Claims

25

Beneficiaries

2

Codes Billed

2021-12

First Month

2021-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	26	$932.51

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92014		13	13	$535.63
92012		13	12	$396.88