Medicaid Provider Spending

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

HOLMDEL PEDIATRICS, LLC

NPI: 1760618383 · HOLMDEL, NJ 07733 · Pediatric Adolescent Medicine Physician · NPI assigned 06/10/2009

$4K
Total Medicaid Paid
107
Total Claims
77
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialKOMMIREDDI, SOWMINI (PRESIDENT)
NPI Enumeration Date06/10/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 107 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81 65 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 12 $144.16