Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1962682690
NPI: 1962682690
Deactivated NPI
· This NPI was deactivated on 06/05/2025.
$57K
Total Medicaid Paid
1,678
Total Claims
1,060
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-03
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
787
$27K
2019
753
$25K
2020
138
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
X4303
1,326
708
$54K
X4306
352
352
$3K