Medicaid Provider Spending

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

MENDOZA MEDICAL CLINIC

NPI: 1073839759 · KENNER, LA 70065 · Pediatrics Physician · NPI assigned 04/20/2010

$2.30M
Total Medicaid Paid
148,532
Total Claims
114,303
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMENDOZA, ROBERTO (OWNER)
NPI Enumeration Date04/20/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,471 $510K
2019 21,855 $332K
2020 25,800 $286K
2021 18,295 $265K
2022 15,220 $287K
2023 18,778 $302K
2024 21,113 $322K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,578 17,407 $863K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,748 3,029 $230K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,005 3,326 $230K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,805 7,784 $223K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,108 2,449 $172K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,617 7,572 $111K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,828 1,463 $86K
90472 Immunization administration, each additional vaccine (list separately) 5,882 4,769 $82K
92551 11,668 9,341 $74K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,098 864 $58K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 712 549 $35K
81003 13,086 9,817 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,063 3,961 $18K
99051 1,346 1,152 $17K
99173 12,696 9,570 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 224 196 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 871 638 $8K
99381 101 87 $6K
36415 Collection of venous blood by venipuncture 4,389 3,276 $6K
85018 3,308 2,467 $6K
96127 9,641 6,071 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 79 69 $4K
90474 500 397 $4K
99499 283 236 $3K
99385 44 41 $3K
96161 980 684 $3K
0071A 49 47 $2K
0001A 82 49 $2K
94760 8,576 6,400 $963.51
0002A 20 20 $741.60
0072A 20 20 $734.95
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 69 53 $453.99
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 42 38 $373.01
81025 68 57 $359.67
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 677 472 $177.04
J0696 Injection, ceftriaxone sodium, per 250 mg 19 17 $18.54
J2550 Injection, promethazine hcl, up to 50 mg 13 13 $18.46
90656 90 77 $11.18
J1100 Injection, dexamethasone sodium phosphate, 1 mg 54 51 $5.04
90651 1,230 898 $0.17
90700 284 228 $0.00
90715 521 341 $0.00
90734 901 597 $0.00
90633 1,044 740 $0.00
90670 2,184 1,719 $0.00
90671 468 316 $0.00
90707 50 40 $0.00
99001 516 414 $0.00
90710 88 75 $0.00
90648 730 604 $0.00
90713 84 66 $0.00
90685 79 51 $0.00
91300 93 86 $0.00
90686 1,381 936 $0.00
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 524 420 $0.00
36416 207 126 $0.00
90680 721 578 $0.00
90620 817 559 $0.00
90698 259 225 $0.00
90723 180 156 $0.00
90744 98 89 $0.00
90619 328 269 $0.00
90697 75 49 $0.00
99000 29 19 $0.00
90696 57 50 $0.00
91307 95 83 $0.00
90716 50 40 $0.00