JASON K BOUTROS M D INC
NPI: 1053532580
· PASADENA, CA 91107
· 207R00000X
$171K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,951 |
$18K |
| 2019 |
3,497 |
$27K |
| 2020 |
4,481 |
$35K |
| 2021 |
4,883 |
$38K |
| 2022 |
5,982 |
$27K |
| 2023 |
3,297 |
$14K |
| 2024 |
2,732 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
9,500 |
8,731 |
$112K |
| 99213 |
|
9,793 |
8,887 |
$54K |
| 94640 |
|
400 |
380 |
$1K |
| 96372 |
|
153 |
143 |
$1K |
| 94664 |
|
296 |
281 |
$912.43 |
| 82947 |
|
635 |
566 |
$440.12 |
| G0180 |
Md certification hha patient |
12 |
12 |
$154.32 |
| 36415 |
|
1,596 |
1,564 |
$72.93 |
| 99212 |
|
713 |
663 |
$16.29 |
| 99000 |
|
1,064 |
1,041 |
$6.54 |
| 3008F |
|
848 |
824 |
$0.30 |
| 3078F |
|
99 |
99 |
$0.00 |
| 99396 |
|
186 |
186 |
$0.00 |
| 1160F |
|
1,194 |
1,130 |
$0.00 |
| 1159F |
|
1,207 |
1,144 |
$0.00 |
| 99395 |
|
12 |
12 |
$0.00 |
| S3005 |
Eval self-assess depression |
12 |
12 |
$0.00 |
| 3074F |
|
67 |
67 |
$0.00 |
| 3079F |
|
36 |
36 |
$0.00 |