Medicaid Provider Spending

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

SRISETHNIL, PUDCHONG

NPI: 1770690315 · PATERSON, NJ 07504 · 207RE0101X

$87K

Total Medicaid Paid

1,700

Total Claims

1,610

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	792	$37K
2019	630	$35K
2020	278	$14K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213		1,016	941	$46K
99214		649	634	$40K
90673		17	17	$223.40
90471		18	18	$135.50