Medicaid Provider Spending

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

MONTOYA, JOSE

NPI: 1942372446 · BARTLETT, TN 38134 · 1223G0001X

$7K

Total Medicaid Paid

323

Total Claims

318

Beneficiaries

5

Codes Billed

2022-06

First Month

2023-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2022	64	$1K
2023	259	$6K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		97	97	$5K
D1208		83	83	$1K
D0120		29	29	$807.80
D0220		12	12	$150.72
D0603		102	97	$0.00