Medicaid Provider Spending

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

PJACOBY, LLC

NPI: 1912242520 · WOODBURY, CT 06798 · Emergency Medicine Physician · NPI assigned 12/07/2012

$62K
Total Medicaid Paid
4,115
Total Claims
2,034
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACOBY, PETER (SOLE MEMBER)
NPI Enumeration Date12/07/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 500 $7K
2019 535 $8K
2020 570 $6K
2021 824 $12K
2022 685 $11K
2023 560 $11K
2024 441 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 4,001 1,957 $60K
11045 79 49 $1K
97597 21 14 $315.12
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $109.68