Medicaid Provider Spending

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

SIMON KA CHUN SO, M.D., PROFESSIONAL MEDICAL INC.

NPI: 1003586801 · IRVINE, CA 92604 · Primary Care Clinic/Center · NPI assigned 09/14/2021

$437K
Total Medicaid Paid
6,097
Total Claims
5,556
Beneficiaries
18
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSO, SIMON (DIRECTOR)
NPI Enumeration Date09/14/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 891 $20K
2024 5,206 $416K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,375 1,958 $200K
99386 212 212 $35K
99385 214 214 $34K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 205 188 $28K
96156 274 273 $24K
93000 634 633 $23K
99215 Prolong outpt/office vis 247 230 $22K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 135 127 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 155 153 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 305 283 $17K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 614 610 $9K
99397 29 26 $4K
99387 15 15 $3K
99205 Prolong outpt/office vis 13 13 $339.00
3078F 146 133 $0.00
1160F 190 179 $0.00
1159F 190 179 $0.00
3074F 144 130 $0.00