Medicaid Provider Spending

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

MA, RONA

NPI: 1831124080 · FREMONT, CA 94539 · 171100000X

$820.00

Total Medicaid Paid

45

Total Claims

12

Beneficiaries

1

Codes Billed

2024-07

First Month

2024-07

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	45	$820.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
97810		45	12	$820.00