SHINE MMG INC
NPI: 1053930248
· GLENDALE, CA 91203
· Family Medicine Physician
· NPI assigned 04/08/2020
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | GOLUB, EMIL (CFO) |
| NPI Enumeration Date | 04/08/2020 |
Related Entities
Other providers sharing the same authorized official: GOLUB, EMIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
54 |
$2K |
| 2021 |
845 |
$25K |
| 2022 |
2,159 |
$32K |
| 2023 |
5,723 |
$58K |
| 2024 |
349 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
4,235 |
4,232 |
$71K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
442 |
440 |
$18K |
| 99497 |
|
832 |
830 |
$8K |
| 99349 |
|
1,267 |
1,266 |
$7K |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
853 |
853 |
$6K |
| 99344 |
|
408 |
408 |
$5K |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
781 |
781 |
$5K |
| 99473 |
|
160 |
160 |
$309.78 |
| 99407 |
|
152 |
152 |
$19.73 |