Medicaid Provider Spending

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

NPI: 1790700086 · MOUNT MORRIS, NY 14510 · State or Local Public Health Clinic/Center · NPI assigned 07/13/2006

$19K
Total Medicaid Paid
595
Total Claims
595
Beneficiaries
4
Codes Billed
2019-11
First Month
2022-01
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, JENNIFER (DIRECTOR)
NPI Enumeration Date07/13/2006

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, JENNIFER

ProviderCityStateTotal Paid
LIVINGSTON COUNTY MOUNT MORRIS NY $1.22M
VALLEY FAMILY HEALTH CARE, INC NYSSA OR $136K
LIVINGSTON COUNTY MOUNT MORRIS NY $83K
TULSA MENTAL HEALTH AND WELLNESS CENTER TULSA OK $79K
LIVINGSTON COUNTY MOUNT MORRIS NY $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 18 $364.03
2021 564 $19K
2022 13 $496.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 286 286 $10K
0011A 278 278 $8K
0013A 13 13 $496.00
90460 Immunization administration through 18 years of age via any route, first or only component 18 18 $364.03