Medicaid Provider Spending

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

PEDIM OUTREACH AND SPECIALTY CLINIC LLC

NPI: 1851848097 · LECANTO, FL 34461 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/06/2016

$0.00
Total Medicaid Paid
53
Total Claims
42
Beneficiaries
1
Codes Billed
2019-10
First Month
2019-12
Last Month

Provider Details

Authorized OfficialST MARTIN, DACELIN (MEDICAL DIRECTOR)
NPI Enumeration Date09/06/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 53 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99490 Ccm add 20min 53 42 $0.00