Medicaid Provider Spending

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

1982901195

NPI: 1982901195

Deactivated NPI · This NPI was deactivated on 11/01/2022.
$21K
Total Medicaid Paid
12,354
Total Claims
5,668
Beneficiaries
5
Codes Billed
2018-06
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $21K
2021 3,044 $0.00
2022 9,244 $4.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 66 30 $21K
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 6,416 2,668 $4.80
J0135 Injection, adalimumab, 20 mg 1,937 1,599 $0.00
J2941 Injection, somatropin, 1 mg 3,154 812 $0.00
J1438 Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 781 559 $0.00