Medicaid Provider Spending

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

1972615730

NPI: 1972615730

Deactivated NPI · This NPI was deactivated on 09/18/2024.
$118K
Total Medicaid Paid
4,283
Total Claims
3,567
Beneficiaries
13
Codes Billed
2019-10
First Month
2022-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 324 $4K
2020 1,613 $44K
2021 1,544 $48K
2022 802 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 800 776 $81K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 702 626 $22K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,294 730 $5K
92551 203 196 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 117 116 $3K
90670 135 135 $1K
85018 573 547 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 42 39 $991.59
90698 78 78 $702.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 25 $626.99
81000 227 219 $583.17
92499 71 64 $160.02
90688 16 16 $144.00