Medicaid Provider Spending

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

VIDALES, MATEO

NPI: 1871086405 · DAVENPORT, FL 33896 · 122300000X

$70K
Total Medicaid Paid
3,134
Total Claims
2,740
Beneficiaries
15
Codes Billed
2023-07
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 938 $27K
2024 2,196 $44K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2392 503 268 $18K
D2393 189 114 $12K
D0330 346 342 $10K
D1110 385 384 $8K
D0210 157 157 $8K
D0150 619 615 $6K
D1206 355 352 $2K
D2332 44 26 $2K
D7210 62 29 $2K
D0274 97 97 $610.62
D0220 160 154 $264.56
D1330 53 53 $189.18
D2391 18 12 $150.00
D0230 133 124 $138.76
D7311 13 13 $0.00