Medicaid Provider Spending

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

PETERSEN, CARLY

NPI: 1841844354 · LAKE OSWEGO, OR 97035 · 1223G0001X

$2K

Total Medicaid Paid

221

Total Claims

209

Beneficiaries

7

Codes Billed

2022-01

First Month

2022-02

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	221	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		32	32	$658.00
D0120		39	39	$392.00
D1206		37	37	$323.00
D0220		40	38	$247.00
D0140		13	12	$210.00
D0274		19	19	$203.00
D0230		41	32	$189.00