Medicaid Provider Spending

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

MONTIJO, IRIS

NPI: 1871754390 · DORCHESTER, MA 02124 · Pediatric Nurse Practitioner · NPI assigned 06/18/2008

$5K
Total Medicaid Paid
55
Total Claims
55
Beneficiaries
3
Codes Billed
2018-02
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 29 29 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $272.48
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $145.47