Medicaid Provider Spending

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

199 ANDOVER STREET OPERATING COMPANY, LLC

NPI: 1770581555 · PEABODY, MA 01960 · 314000000X

$79K
Total Medicaid Paid
11,304
Total Claims
2,097
Beneficiaries
18
Codes Billed
2018-01
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,380 $53K
2019 2,204 $19K
2020 238 $3K
2021 416 $4K
2022 16 $0.00
2023 50 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 4,524 484 $55K
97116 1,393 167 $11K
97535 677 108 $7K
97112 294 92 $2K
97165 65 62 $1K
97161 49 48 $996.09
97162 15 14 $261.91
97110 2,151 211 $8.40
G8978 Mobility current status 463 166 $0.00
91322 17 17 $0.00
G8979 Mobility goal status 512 172 $0.00
G8989 Self care d/c status 60 58 $0.00
G8988 Self care goal status 518 198 $0.00
Q2039 Influenza virus vaccine, nos 21 21 $0.00
G8980 Mobility d/c status 12 12 $0.00
G0008 Admin influenza virus vac 69 69 $0.00
G8987 Self care current status 447 181 $0.00
90480 17 17 $0.00