Medicaid Provider Spending

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

D3SKIM LLC

NPI: 1780142604 · NORTH BRUNSWICK, NJ 08902 · Community/Retail Pharmacy · NPI assigned 03/10/2019

$14K
Total Medicaid Paid
632
Total Claims
514
Beneficiaries
10
Codes Billed
2020-09
First Month
2022-11
Last Month

Provider Details

Authorized OfficialKIM, DO HYON (MANAGING MEMBER)
NPI Enumeration Date03/10/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 45 $0.00
2021 385 $9K
2022 202 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 135 106 $4K
0012A 127 99 $4K
0003A 112 85 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 54 48 $2K
0013A 73 53 $1K
0004A 20 14 $160.00
0124A 15 15 $160.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 24 22 $48.00
90694 35 35 $0.00
G0008 Administration of influenza virus vaccine 37 37 $0.00