Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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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
Year
Claims
Total Paid
2019
12
$884.29
2020
63
$2K
2021
104
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total 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