Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
MS
›
PHILADELPHIA
› WALLACE, LOWELL
WALLACE, LOWELL
NPI: 1932610623 · PHILADELPHIA, MS 39350 ·
1041C0700X
$2K
Total Medicaid Paid
35
Total Claims
30
Beneficiaries
1
Codes Billed
2021-04
First Month
2021-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
35
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90834
35
30
$2K