Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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IDICULLA, GEORGE
NPI: 1891806642 · ROCKLEDGE, FL 32955 ·
207R00000X
$7K
Total Medicaid Paid
260
Total Claims
235
Beneficiaries
7
Codes Billed
2019-01
First Month
2019-05
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
260
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99214
150
132
$6K
99215
Prolong outpt/office vis
12
12
$711.51
3079F
15
15
$0.00
99406
22
22
$0.00
3074F
32
27
$0.00
3725F
12
12
$0.00
3078F
17
15
$0.00