Medicaid Provider Spending

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

TARZANA OPTIMAL MEDICAL CENTER INC

NPI: 1063199255 · TARZANA, CA 91356 · Physical Medicine & Rehabilitation Physician · NPI assigned 06/29/2023

$26K
Total Medicaid Paid
1,079
Total Claims
1,079
Beneficiaries
17
Codes Billed
2023-10
First Month
2023-12
Last Month

Provider Details

Authorized OfficialDO, KEVIN (CEO/)
NPI Enumeration Date06/29/2023

Related Entities

Other providers sharing the same authorized official: DO, KEVIN

ProviderCityStateTotal Paid
DO MEDICAL CORPORATION GLENDALE CA $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,079 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 136 136 $22K
95923 53 53 $2K
95924 131 131 $668.88
64615 128 128 $448.80
93923 129 129 $411.74
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 119 119 $296.56
92552 74 74 $80.27
G0444 Annual depression screening, 5 to 15 minutes 99 99 $70.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 29 29 $66.99
96138 16 16 $48.82
96127 76 76 $46.59
96132 16 16 $14.18
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 16 16 $0.16
95816 15 15 $0.00
20611 15 15 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $0.00
95930 15 15 $0.00