Medicaid Provider Spending

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

SOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT

NPI: 1073927877 · IRVINE, CA 92618 · Student Health Clinic/Center · NPI assigned 06/19/2014

$3K
Total Medicaid Paid
110
Total Claims
81
Beneficiaries
3
Codes Billed
2018-04
First Month
2018-10
Last Month

Provider Details

Authorized OfficialMONTGOMERY, NANCY (DIRECTOR HEALTH,WELLNESS,VET CENTER)
Parent OrganizationSOUTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
NPI Enumeration Date06/19/2014

Related Entities

Other providers sharing the same authorized official: MONTGOMERY, NANCY

ProviderCityStateTotal Paid
LEPOW PODIATRIC MEDICAL ASSOCIATES HOUSTON TX $57K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $3K
A4267 Contraceptive supply, condom, male, each 76 47 $287.22
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 19 19 $181.26