Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PORT JEFFERSON STATION
› MASAKAYAN, ADELAIDE
MASAKAYAN, ADELAIDE
NPI: 1902970577 · PORT JEFFERSON STATION, NY 11776 ·
208000000X
$183K
Total Medicaid Paid
2,741
Total Claims
2,295
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
167
$7K
2019
286
$15K
2020
453
$23K
2021
642
$36K
2022
508
$44K
2023
358
$32K
2024
327
$25K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99213
1,584
1,313
$126K
99214
413
341
$41K
90460
225
216
$6K
87426
75
64
$2K
87804
142
72
$2K
99393
39
39
$2K
87880
138
126
$1K
99394
25
25
$1K
81000
74
74
$250.43
81002
13
12
$41.76
96110
13
13
$0.00