Medicaid Provider Spending

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

SO CAL REGENERATIVE MEDICAL CLINICS INC

NPI: 1104337740 · ANAHEIM, CA 92806 · Medical Specialty Clinic/Center · NPI assigned 10/23/2017

$18K
Total Medicaid Paid
268
Total Claims
119
Beneficiaries
4
Codes Billed
2020-06
First Month
2021-03
Last Month

Provider Details

Authorized OfficialKEITH, ANDREW (OWNER/PARTNER)
NPI Enumeration Date10/23/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 195 $13K
2021 73 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
20610 108 41 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $192.00
77002 82 40 $78.86
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 66 26 $3.72