Medicaid Provider Spending

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

UDELSMAN, MARISSA

NPI: 1811322373 · PASADENA, CA 91104 · Pediatric Nurse Practitioner · NPI assigned 09/03/2013

$2K
Total Medicaid Paid
128
Total Claims
126
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $2K
2019 24 $599.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 36 $2K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 66 66 $533.28
96110 Developmental screening, with scoring and documentation, per standardized instrument 24 24 $208.56