Medicaid Provider Spending

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

HOLLYWOOD PEDITRIC CLINIC

NPI: 1851568638 · ROSEVILLE, MI 48066 · Pediatrics Physician · NPI assigned 05/12/2008

$4K
Total Medicaid Paid
86
Total Claims
61
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialSHAH, REKHA (PRESIDENT)
NPI Enumeration Date05/12/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 86 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58 43 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 28 18 $410.48