Medicaid Provider Spending

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

GRAVELINE, LISA MAE

NPI: 1801559984 · PRESCOTT VALLEY, AZ 86314 · 363LP0808X

$10K

Total Medicaid Paid

130

Total Claims

113

Beneficiaries

2

Codes Billed

2024-07

First Month

2024-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	130	$10K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213		88	73	$7K
99212		42	40	$3K