Medicaid Provider Spending

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

LINE STREET MEDICAL, LLC

NPI: 1821560327 · PHILADELPHIA, MS 39350 · 363LF0000X

$4K
Total Medicaid Paid
186
Total Claims
169
Beneficiaries
4
Codes Billed
2020-10
First Month
2022-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 56 $675.28
2021 66 $1K
2022 64 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 111 99 $3K
99201 26 26 $553.48
99212 19 14 $312.47
86580 30 30 $121.80