Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › 1992755011

1992755011

NPI: 1992755011

$150K
Total Medicaid Paid
5,498
Total Claims
4,471
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,404 $63K
2019 1,415 $41K
2020 1,399 $39K
2021 280 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
X1915 752 742 $57K
T5999 Supply, nos 2,274 1,685 $22K
A4554 Disposable underpads 652 589 $21K
T4527 Adult size pull-on lg 367 298 $19K
T2028 Special supply, nos waiver 214 203 $15K
T4526 Adult size pull-on med 177 157 $9K
A4927 Non-sterile gloves 1,008 748 $6K
T4535 Disposable liner/shield/pad 40 37 $1K
T4528 Adult size pull-on xl 14 12 $998.40