Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PORT JEFFERSON
› DE ELIA, CAROLINA
DE ELIA, CAROLINA
NPI: 1770822439 · PORT JEFFERSON, NY 11777 ·
207R00000X
$4K
Total Medicaid Paid
187
Total Claims
148
Beneficiaries
3
Codes Billed
2019-12
First Month
2021-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
12
$581.83
2020
45
$748.66
2021
130
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99223
Prolong inpt eval add15 m
106
99
$3K
99233
Prolong inpt eval add15 m
66
36
$933.47
99497
15
13
$91.91