Medicaid Provider Spending

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

JOHNSON, JACK

NPI: 1962638999 · ROCK HILL, SC 29732 · Pediatric Clinical Nurse Specialist · NPI assigned 06/04/2009

$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 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 144 127 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 29 $2K
90461 27 27 $494.41
90460 Immunization administration through 18 years of age via any route, first or only component 32 32 $322.88
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 29 $298.99
85018 12 12 $19.68