Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › RANCHO CUCAMONGA › PROVIDENCE PODIATRY CARE, INC.

PROVIDENCE PODIATRY CARE, INC.

NPI: 1033881735 · RANCHO CUCAMONGA, CA 91730 · Foot & Ankle Surgery Podiatrist · NPI assigned 09/30/2021

$55K
Total Medicaid Paid
3,607
Total Claims
3,601
Beneficiaries
7
Codes Billed
2021-04
First Month
2023-03
Last Month

Provider Details

Authorized OfficialAVILA, EDDIE (OWNER/ADMINISTRATOR)
NPI Enumeration Date09/30/2021

Related Entities

Other providers sharing the same authorized official: AVILA, EDDIE

ProviderCityStateTotal Paid
PROVIDENCE PODIATRY CARE, INC SAN BERNARDINO CA $229K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 105 $356.98
2022 2,351 $37K
2023 1,151 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11721 1,410 1,404 $32K
11720 915 915 $11K
99307 884 884 $9K
11055 76 76 $921.80
99308 Subsequent nursing facility care, per day, straightforward 64 64 $920.56
11056 48 48 $690.82
G0127 Trimming of dystrophic nails, any number 210 210 $512.65