Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › GRASS VALLEY › WESTERN SIERRA MEDICAL CLINIC, INC.

WESTERN SIERRA MEDICAL CLINIC, INC.

NPI: 1063496396 · GRASS VALLEY, CA 95945 · 261QF0400X

$27.68M
Total Medicaid Paid
619,582
Total Claims
480,971
Beneficiaries
136
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52,167 $3.66M
2019 72,514 $3.08M
2020 85,794 $3.39M
2021 91,481 $3.40M
2022 89,261 $3.58M
2023 120,015 $5.38M
2024 108,350 $5.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 166,332 145,823 $20.60M
00003 23,400 18,490 $3.96M
99213 143,255 104,059 $1.23M
99214 31,450 22,719 $398K
97803 21,930 15,276 $191K
86769 8,457 6,224 $120K
99212 17,196 12,541 $116K
99392 6,830 4,832 $105K
H1001 Antepartum management 3,438 2,435 $104K
90832 4,507 3,092 $83K
87635 4,833 2,962 $70K
99393 3,791 2,689 $65K
99391 4,329 3,259 $57K
59425 2,097 1,395 $56K
92551 11,289 7,988 $44K
99202 2,849 2,403 $39K
99394 2,012 1,401 $39K
90834 1,792 993 $38K
98941 5,189 2,503 $33K
80305 8,552 5,441 $30K
96372 4,933 2,990 $27K
G0511 Ccm/bhi by rhc/fqhc 20min mo 6,262 6,150 $26K
90791 906 685 $24K
J1050 Medroxyprogesterone acetate 466 318 $14K
87081 6,558 5,183 $14K
98940 2,165 965 $14K
87811 6,161 4,688 $11K
99203 613 516 $11K
90670 2,221 1,650 $10K
99173 9,132 6,753 $9K
96127 7,126 5,436 $9K
81025 6,747 4,771 $7K
G0467 Fqhc visit, estab pt 3,671 3,222 $7K
90688 1,718 1,223 $6K
83655 1,444 1,049 $6K
93000 434 270 $5K
0012A 620 427 $5K
81002 7,090 5,363 $5K
90658 795 644 $5K
90633 1,280 919 $4K
87804 1,212 1,035 $4K
0011A 770 515 $4K
83036 1,558 1,076 $4K
90648 984 719 $4K
90723 1,002 704 $4K
90471 10,358 8,962 $3K
99215 Prolong outpt/office vis 137 107 $3K
99211 674 476 $3K
17110 96 82 $3K
90686 314 252 $3K
90715 597 413 $3K
91322 88 68 $3K
90680 1,037 795 $2K
90707 564 417 $2K
90649 483 327 $2K
87636 256 173 $2K
90472 1,840 1,489 $2K
90480 179 136 $2K
90700 577 413 $2K
90710 539 398 $2K
90716 497 360 $2K
99395 46 30 $2K
85018 1,990 1,469 $2K
0004A 43 39 $2K
90657 421 286 $1K
0064A 122 96 $1K
0002A 97 73 $1K
87070 638 501 $1K
90696 438 310 $1K
0001A 92 74 $1K
59430 74 65 $1K
J1885 Ketorolac tromethamine inj 700 471 $959.04
90792 99 91 $826.00
G2025 Dis site tele svcs rhc/fqhc 217 206 $805.65
0031A 47 35 $804.00
0071A 30 20 $804.00
90734 259 179 $768.33
J3301 Triamcinolone acet inj nos 453 251 $730.82
J3420 Vitamin b12 injection 171 154 $716.74
H1000 Prenatal care atrisk assessm 16 15 $631.55
H0049 Alcohol/drug screening 2,449 2,094 $624.00
99204 34 24 $551.20
99381 21 15 $518.90
99283 2,037 1,663 $453.75
99396 21 13 $444.92
99205 Prolong outpt/office vis 74 72 $433.51
82947 460 270 $299.12
87634 22 15 $249.56
99238 22 12 $225.60
90744 71 48 $216.00
G9920 Scrning perf and negative 2,056 1,851 $203.08
87086 552 453 $177.70
99406 48 39 $166.56
90656 13 13 $166.34
99201 28 27 $162.76
94640 71 31 $143.58
86580 192 139 $131.04
J3490 Drugs unclassified injection 30 18 $130.16
90713 53 34 $126.00
69210 16 12 $122.12
98960 6,340 5,033 $106.64
82962 157 122 $76.84
G0071 Comm svcs by rhc/fqhc 5 min 40 34 $19.52
86328 59 45 $12.00
99000 193 147 $7.26
82272 19 12 $2.56
3008F 5,333 4,704 $0.00
S9451 Exercise class 8,281 6,835 $0.00
Z1034 4,249 2,875 $0.00
91301 1,551 1,189 $0.00
90677 409 395 $0.00
90697 876 750 $0.00
97140 41 34 $0.00
Z1038 117 109 $0.00
96110 185 167 $0.00
3079F 13 13 $0.00
3074F 193 177 $0.00
U0002 Covid-19 lab test non-cdc 14 14 $0.00
90474 27 27 $0.00
99443 85 65 $0.00
Z1032 94 93 $0.00
99441 13 13 $0.00
91307 36 35 $0.00
91303 36 31 $0.00
90381 14 14 $0.00
99408 4,899 4,481 $0.00
99401 692 568 $0.00
2028F 1,040 762 $0.00
G0444 Depression screen annual 1,688 1,415 $0.00
4004F 191 189 $0.00
91300 242 223 $0.00
99442 177 139 $0.00
3078F 143 136 $0.00
G9919 Scrn nd pos nd prov of rec 243 223 $0.00
90473 18 18 $0.00
3077F 19 12 $0.00