Medicaid Provider Spending

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

GOMULKA, ASHLEY

NPI: 1760097604 · MOKENA, IL 60448 · 363LF0000X

$28K

Total Medicaid Paid

559

Total Claims

536

Beneficiaries

7

Codes Billed

2022-10

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	133	$7K
2023	238	$9K
2024	188	$12K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99214		116	111	$9K
99213		152	138	$8K
87502		50	49	$4K
99204		41	40	$3K
87880		139	137	$2K
87635		28	28	$1K
99203		33	33	$1K