Medicaid Provider Spending

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

MONTGOMERY, TYRUS

NPI: 1871714766 · BOWIE, MD 20715 · 1223G0001X

$62K

Total Medicaid Paid

1,306

Total Claims

1,293

Beneficiaries

5

Codes Billed

2020-06

First Month

2024-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	74	$2K
2021	126	$4K
2022	142	$4K
2023	475	$26K
2024	489	$27K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		581	572	$33K
D0150		314	311	$13K
D0330		255	254	$11K
D0120		143	143	$4K
D0140		13	13	$614.38