Medicaid Provider Spending

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

1871583195

NPI: 1871583195

Deactivated NPI · This NPI was deactivated on 04/10/2025.
Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S0280 with only 1 total codes billed. Highly concentrated billing profile.

$1.42M
Total Medicaid Paid
6,147
Total Claims
4,329
Beneficiaries
1
Codes Billed
2021-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 170 $50K
2022 2,032 $412K
2023 1,682 $448K
2024 2,263 $510K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0280 Medical home program, comprehensive care coordination and planning, initial plan 6,147 4,329 $1.42M