Medicaid Provider Spending

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

DAVIS, CARLY

NPI: 1801121108 · RIVERTON, UT 84096 · Pediatrics Physician · NPI assigned 10/05/2009

$5K
Total Medicaid Paid
383
Total Claims
380
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $1K
2019 124 $935.78
2020 172 $3K
2021 19 $43.56

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60 57 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 215 215 $2K
90472 Immunization administration, each additional vaccine (list separately) 29 29 $58.08
90686 79 79 $26.13