Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › ST. LOUIS › SAMPLE, THEODORE

SAMPLE, THEODORE

NPI: 1922191584 · ST. LOUIS, MO 63141 · 208000000X

$27K
Total Medicaid Paid
269
Total Claims
228
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 108 $11K
2019 161 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 94 94 $14K
99233 Prolong inpt eval add15 m 109 69 $8K
99238 54 53 $3K
99239 12 12 $974.42