Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › MARION › ANGELLY, DIETRA

ANGELLY, DIETRA

NPI: 1902371313 · MARION, IL 62959 · 363LF0000X

$33K
Total Medicaid Paid
1,321
Total Claims
1,034
Beneficiaries
11
Codes Billed
2022-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 719 $10K
2023 396 $11K
2024 206 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 500 446 $21K
99214 79 78 $6K
99203 85 69 $4K
87502 23 14 $2K
87635 19 18 $923.58
87880 33 30 $491.16
96372 26 12 $255.64
3008F 138 85 $0.00
3074F 63 36 $0.00
1160F 186 131 $0.00
1159F 169 115 $0.00