Medicaid Provider Spending

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

1922214667

NPI: 1922214667

Deactivated NPI · This NPI was deactivated on 11/18/2024.
Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code S9484 with only 3 total codes billed. Highly concentrated billing profile.

$5.95M
Total Medicaid Paid
20,995
Total Claims
4,015
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,613 $1.03M
2019 4,164 $1.31M
2020 3,623 $1.08M
2021 3,336 $886K
2022 3,378 $853K
2023 2,881 $779K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9484 Crisis intervention mental health services, per hour 20,753 3,821 $5.91M
T1017 Targeted case management, each 15 minutes 211 163 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 31 $3K