Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOLMES, SHELBY
NPI: 1861988107 · OGDEN, UT 84404 ·
363LF0000X
$29K
Total Medicaid Paid
397
Total Claims
365
Beneficiaries
4
Codes Billed
2018-12
First Month
2020-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
17
$1K
2019
212
$18K
2020
168
$9K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99214
306
303
$27K
87804
58
29
$1K
U0002
Covid-19 lab test non-cdc
20
20
$966.99
87880
13
13
$47.01