Medicaid Provider Spending

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

DOLAN JOHNSON, MARY

NPI: 1821402405 · BEAUFORT, SC 29902 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/11/2014

$5K
Total Medicaid Paid
219
Total Claims
218
Beneficiaries
5
Codes Billed
2019-07
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 219 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29 29 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 15 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 75 75 $945.75
90461 43 43 $718.77
97802 56 56 $0.00