Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › SANDPOINT › GODBOLT, EMERSON

GODBOLT, EMERSON

NPI: 1902211725 · SANDPOINT, ID 83864 · 1223G0001X

$30K
Total Medicaid Paid
1,911
Total Claims
1,807
Beneficiaries
12
Codes Billed
2021-04
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,727 $27K
2022 184 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 183 183 $10K
D1110 242 242 $9K
D0210 61 61 $4K
D1120 43 43 $3K
D2392 64 39 $2K
D0140 42 41 $843.69
D0330 36 36 $182.59
D0120 301 301 $109.58
D0220 314 313 $0.00
D0230 313 236 $0.00
D1208 239 239 $0.00
D0150 73 73 $0.00