Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1760402440
NPI: 1760402440
Deactivated NPI
· This NPI was deactivated on 06/30/2021.
$195K
Total Medicaid Paid
395
Total Claims
300
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
395
$195K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
52214
220
167
$191K
99215
Prolong outpt/office vis
175
133
$3K