Medicaid Provider Spending

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

LAWRENCE COUNTY AUDITOR

NPI: 1942599501 · BEDFORD, IN 47421 · State or Local Public Health Clinic/Center · NPI assigned 04/05/2011

$9K
Total Medicaid Paid
1,184
Total Claims
897
Beneficiaries
7
Codes Billed
2018-02
First Month
2022-10
Last Month

Provider Details

Authorized OfficialSMITH, ALAN (HEALTH OFFICER)
NPI Enumeration Date04/05/2011

Related Entities

Other providers sharing the same authorized official: SMITH, ALAN

ProviderCityStateTotal Paid
TOWN OF MILFORD MILFORD ME $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 246 $864.28
2019 451 $2K
2020 191 $2K
2021 101 $2K
2022 195 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 761 574 $5K
90472 Immunization administration, each additional vaccine (list separately) 257 176 $3K
90686 69 64 $255.96
90651 21 14 $251.00
90619 26 26 $0.00
90632 20 16 $0.00
90734 30 27 $0.00