Medicaid Provider Spending

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

MOE, TINA

NPI: 1912157041 · DONIPHAN, MO 63935 · 363LF0000X

$111.89

Total Medicaid Paid

13

Total Claims

13

Beneficiaries

1

Codes Billed

2019-10

First Month

2019-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	13	$111.89

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
85025		13	13	$111.89