Medicaid Provider Spending

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

RAMONA SPECIALISTS, INC.

NPI: 1013140276 · SAN JACINTO, CA 92583 · Pulmonary Disease Physician · NPI assigned 09/03/2009

$4.64M
Total Medicaid Paid
97,385
Total Claims
53,419
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGUPTA, RAKESH (OWNER)
NPI Enumeration Date09/03/2009

Related Entities

Other providers sharing the same authorized official: GUPTA, RAKESH

ProviderCityStateTotal Paid
AVE P MEDICAL PC BROOKLYN NY $175K
PROGRESSIVE CARDIOVASCULAR CARE P.C. QUEENS VILLAGE NY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,102 $723K
2019 12,828 $724K
2020 12,897 $742K
2021 11,658 $668K
2022 13,396 $631K
2023 20,774 $619K
2024 14,730 $529K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14,346 3,049 $1.39M
99233 Prolong inpt eval add15 m 20,403 5,283 $785K
99215 Prolong outpt/office vis 11,287 11,091 $603K
99232 Subsequent hospital care, per day, moderate complexity 13,191 1,797 $430K
95810 Polysomnography; sleep staging with 4 or more additional parameters 750 740 $256K
99223 Prolong inpt eval add15 m 3,101 2,955 $199K
95811 452 445 $161K
99205 Prolong outpt/office vis 1,817 1,811 $137K
94729 3,171 3,160 $131K
94060 3,168 3,157 $123K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,771 1,765 $108K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,949 338 $105K
94727 3,170 3,159 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,622 3,570 $70K
94760 2,876 2,865 $14K
95831 966 958 $13K
99292 96 67 $5K
94375 332 331 $3K
94200 328 327 $2K
90674 24 24 $646.99
90756 21 21 $498.60
94618 12 12 $257.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 41 $176.80
G9695 Long-acting inhaled bronchodilator prescribed 308 306 $0.01
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 636 634 $0.01
3023F 859 857 $0.01
1123F 525 525 $0.00
1036F 1,569 1,559 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 162 162 $0.00
G8839 Sleep apnea symptoms assessed, including presence or absence of snoring and daytime sleepiness 509 499 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 26 26 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 135 135 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 13 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 13 13 $0.00
4040F 417 417 $0.00
1090F 308 308 $0.00
G8842 Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea 507 497 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 245 243 $0.00
4004F 48 48 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 162 162 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 49 49 $0.00