Medicaid Provider Spending

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

NPI: 1922673599 · GALLUP, NM 87301 · 122300000X

$20K
Total Medicaid Paid
828
Total Claims
827
Beneficiaries
8
Codes Billed
2021-10
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 614 $15K
2022 176 $4K
2023 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 139 139 $5K
D0274 117 117 $4K
D1110 70 70 $3K
D1208 133 133 $3K
D1120 67 67 $2K
D0220 157 156 $2K
D0230 132 132 $1K
D1206 13 13 $232.93