Medicaid Provider Spending

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

J MANDAVA LLC

NPI: 1811083892 · SAINT PETERS, MO 63376 · 2084P0800X

$46K

Total Medicaid Paid

1,201

Total Claims

910

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	484	$15K
2019	424	$18K
2020	293	$13K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99232		1,031	773	$40K
90792		25	24	$2K
99231		98	73	$2K
99214		33	27	$631.54
99238		14	13	$494.22