Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › ROCK HILL › JOHNSON, JACK

JOHNSON, JACK

NPI: 1962638999 · ROCK HILL, SC 29732 · 364SP0200X

$12K
Total Medicaid Paid
275
Total Claims
256
Beneficiaries
6
Codes Billed
2019-07
First Month
2019-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 275 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 144 127 $8K
99214 31 29 $2K
90461 27 27 $494.41
90460 32 32 $322.88
87880 29 29 $298.99
85018 12 12 $19.68