COUNTRY VILLA IMPERIAL LLC
NPI: 1083608293
· LOS ANGELES, CA 90039
· 314000000X
$896K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,062 |
$341K |
| 2019 |
9,418 |
$233K |
| 2020 |
8,848 |
$254K |
| 2021 |
1,980 |
$31K |
| 2022 |
1,400 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
10,554 |
756 |
$305K |
| 97110 |
|
8,428 |
750 |
$263K |
| 97112 |
|
6,390 |
707 |
$162K |
| 97535 |
|
3,218 |
530 |
$87K |
| 97116 |
|
2,144 |
279 |
$46K |
| G8978 |
Mobility current status |
146 |
86 |
$30K |
| 97163 |
|
25 |
18 |
$1K |
| 97166 |
|
26 |
22 |
$728.17 |
| G8979 |
Mobility goal status |
246 |
129 |
$489.23 |
| G8988 |
Self care goal status |
270 |
163 |
$403.60 |
| 97162 |
|
12 |
12 |
$342.99 |
| G8987 |
Self care current status |
168 |
110 |
$155.33 |
| G8989 |
Self care d/c status |
46 |
41 |
$29.07 |
| G8980 |
Mobility d/c status |
13 |
13 |
$14.84 |
| G8982 |
Body pos goal status |
22 |
12 |
$0.18 |