Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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VITALITY&LONGEVITY MEDICAL CENTER A PROFESSIONAL MEDICAL CORPORATION

NPI: 1003032525 · SANTA MONICA, CA 90405 · Family Medicine Physician · NPI assigned 04/17/2007

$20.04
Total Medicaid Paid
1,200
Total Claims
1,107
Beneficiaries
4
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialHOPPER, DOUGLAS (PRESIDENT)
NPI Enumeration Date04/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 376 $20.00
2019 315 $0.04
2020 206 $0.00
2021 156 $0.00
2022 147 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 860 785 $20.04
99443 249 234 $0.00
99396 77 76 $0.00
99212 14 12 $0.00