Medicaid Provider Spending

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

LILIENTHAL, VIRGINIA

NPI: 1851392237 · LOXAHATCHEE GROVES, FL 33470 · Pediatrics Physician · NPI assigned 08/09/2005

$5K
Total Medicaid Paid
179
Total Claims
172
Beneficiaries
3
Codes Billed
2019-11
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $884.29
2020 63 $2K
2021 104 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 110 106 $5K
99072 57 54 $0.00
96127 12 12 $0.00