Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › PORT JEFFERSON STATION › RANDOLPH, THEODORE

RANDOLPH, THEODORE

NPI: 1831197318 · PORT JEFFERSON STATION, NY 11776 · 213ES0103X

$763.85
Total Medicaid Paid
276
Total Claims
276
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $108.16
2019 135 $344.29
2020 31 $311.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11721 276 276 $763.85