Medicaid Provider Spending

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

PRISMA CARE, A MEDICAL CORPORATION

NPI: 1093809139 · CHULA VISTA, CA 91911 · Internal Medicine Physician · NPI assigned 10/03/2006

$8K
Total Medicaid Paid
6,964
Total Claims
6,694
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialLOPEZ, JOSE (PRESIDENT)
NPI Enumeration Date10/03/2006

Related Entities

Other providers sharing the same authorized official: LOPEZ, JOSE

ProviderCityStateTotal Paid
JOSE L. LOPEZ, DDS, INC SAN DIEGO CA $1.64M
JOSE J LOPEZ AGUDO OFTALMOLOGO CSP FAJARDO PR $766K
ORLEANS MEDICAL CLINIC,LLC ORLEANS IN $365K
GENESEE FAMILY CARE PC BURTON MI $105K
JOSE M LOPEZ, D.M.D., PA EL PASO TX $3K
JOSE A LOPEZ M.D P.A OAKLAND FL $861.78

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 793 $4K
2019 700 $2K
2020 270 $201.30
2021 477 $89.93
2022 3,332 $1K
2023 1,251 $183.48
2024 141 $831.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,343 1,293 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,454 1,391 $3K
A4670 Automatic blood pressure monitor 93 90 $0.00
1170F 706 684 $0.00
3075F 739 711 $0.00
3008F 215 208 $0.00
3079F 757 729 $0.00
3074F 34 33 $0.00
1157F 18 17 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 50 50 $0.00
3080F 41 39 $0.00
1159F 756 724 $0.00
1160F 706 675 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $0.00
0521F 21 19 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17 17 $0.00