Medicaid Provider Spending

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

COASTAL PEDIATRICS

NPI: 1922281070 · PORTSMOUTH, NH 03801 · Primary Care Clinic/Center · NPI assigned 12/12/2007

$9K
Total Medicaid Paid
397
Total Claims
340
Beneficiaries
3
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialHODGES, KEVIN (PRESIDENT)
NPI Enumeration Date12/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $5K
2019 104 $3K
2020 94 $937.37
2021 15 $65.52
2022 14 $59.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 159 130 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 167 144 $581.38
90686 71 66 $0.00