Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SIGNAL HILL › ACCOUNTABLE HEALTH CARE IPA

ACCOUNTABLE HEALTH CARE IPA

NPI: 1114070224 · SIGNAL HILL, CA 90755 · Health Maintenance Organization · NPI assigned 01/19/2007

$3.47M
Total Medicaid Paid
276,339
Total Claims
249,615
Beneficiaries
369
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialJAYATILAKA, GEORGE (CEO)
NPI Enumeration Date01/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 157,589 $2.47M
2019 4,367 $114K
2020 56,420 $386K
2021 57,963 $499K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 1,006 956 $376K
99199 Unlisted special service, procedure or report 7,017 6,399 $283K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,031 6,506 $194K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 7,740 7,604 $147K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,063 1,265 $133K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,025 3,016 $129K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,298 29,003 $121K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,197 1,077 $98K
59425 1,689 1,059 $85K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,683 1,677 $85K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 668 423 $82K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,774 1,760 $80K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,346 1,293 $80K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,031 2,011 $79K
82785 419 419 $64K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,038 632 $62K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 533 475 $60K
86003 635 632 $56K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,516 1,514 $56K
99215 Prolong outpt/office vis 341 323 $52K
99244 Office or other outpatient consultation, moderate to high complexity 706 675 $52K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 447 388 $48K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 408 396 $48K
88305 Level IV - Surgical pathology, gross and microscopic examination 418 405 $44K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,541 1,535 $43K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 928 898 $43K
88142 888 888 $43K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 72 72 $38K
99243 663 613 $35K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 709 374 $30K
97010 799 234 $30K
0450 Emergency room services 619 587 $30K
J3490 Unclassified drugs 234 188 $29K
64493 141 70 $23K
E0601 Continuous positive airway pressure (cpap) device 412 395 $20K
92134 109 94 $20K
64483 56 56 $18K
92552 6,616 6,572 $16K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 166 146 $15K
T4541 Incontinence product, disposable underpad, large, each 492 488 $15K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 108 100 $15K
80053 Comprehensive metabolic panel 10,804 9,504 $14K
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit 124 123 $14K
99232 Subsequent hospital care, per day, moderate complexity 787 243 $14K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 290 288 $14K
83036 Hemoglobin; glycosylated (A1C) 4,972 4,944 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14,498 12,247 $13K
97803 1,080 978 $12K
95117 1,708 522 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 105 105 $12K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 25 24 $12K
71045 Radiologic examination, chest; single view 712 649 $11K
99284 Emergency department visit for the evaluation and management, high severity 153 148 $11K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 110 109 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 572 552 $10K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,077 871 $10K
99283 Emergency department visit for the evaluation and management, moderate severity 213 208 $9K
95811 25 25 $9K
71046 Radiologic examination, chest; 2 views 538 534 $9K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 126 82 $8K
97802 2,095 1,985 $7K
76881 64 61 $7K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,294 386 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 408 350 $7K
92060 4,993 4,960 $6K
70450 Computed tomography, head or brain; without contrast material 48 45 $6K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 316 310 $6K
K0001 Standard wheelchair 193 191 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,612 8,277 $5K
99383 81 81 $5K
99233 Prolong inpt eval add15 m 270 114 $5K
36415 Collection of venous blood by venipuncture 5,707 5,490 $5K
90686 680 675 $5K
85018 4,338 4,299 $5K
80061 Lipid panel 6,120 6,088 $4K
80048 Basic metabolic panel (calcium, ionized) 3,183 2,382 $4K
59514 13 12 $4K
99384 61 61 $4K
87086 Culture, bacterial; quantitative colony count, urine 2,248 2,166 $4K
86580 1,693 1,688 $4K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 178 178 $4K
59025 Fetal non-stress test 65 42 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 184 46 $4K
90715 342 340 $4K
92250 40 40 $4K
95144 40 40 $4K
99460 46 46 $4K
81025 1,299 1,241 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 398 359 $3K
84702 750 681 $3K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 57 57 $3K
84443 Thyroid stimulating hormone (TSH) 5,373 5,324 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,490 2,481 $3K
81001 2,955 2,859 $3K
92557 26 26 $3K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 985 979 $3K
97162 37 36 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 15 15 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 100 97 $3K
86592 2,415 2,397 $3K
99382 42 42 $2K
E0570 Nebulizer, with compressor 34 34 $2K
76801 24 24 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 84 82 $2K
99222 Initial hospital care, per day, moderate complexity 14 14 $2K
87088 622 613 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17 13 $2K
81003 4,330 4,218 $2K
E0562 Humidifier, heated, used with positive airway pressure device 346 344 $2K
H1003 Prenatal care, at-risk enhanced service; education 414 217 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 24 21 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 56 51 $2K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 48 48 $2K
81000 3,048 2,910 $2K
83690 1,138 1,047 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 53 52 $2K
84484 752 639 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39 36 $2K
90651 459 454 $2K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 105 105 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,774 1,768 $1K
97001 26 13 $1K
3008F 5,568 5,260 $1K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 606 487 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 154 150 $1K
88112 15 14 $1K
97161 24 24 $1K
67028 Intravitreal injection of a pharmacologic agent 15 12 $1K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 27 27 $1K
90648 293 293 $1K
86038 312 310 $1K
A4927 Gloves, non-sterile, per 100 113 113 $1K
82728 398 390 $1K
82746 294 293 $1K
99205 Prolong outpt/office vis 39 39 $1K
85610 1,699 1,481 $1K
82947 676 662 $1K
84439 1,516 1,508 $997.27
88141 202 202 $983.42
85027 1,319 1,107 $978.39
85730 1,132 1,010 $894.95
90670 581 571 $884.16
94760 587 527 $850.00
99381 13 13 $833.15
90700 534 533 $828.00
92235 28 28 $801.74
82784 25 25 $741.94
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 817 802 $732.17
96375 Therapeutic injection; each additional sequential IV push 29 25 $689.54
90707 280 280 $679.76
A4335 Incontinence supply; miscellaneous 64 56 $677.19
86900 868 771 $619.63
90658 365 365 $615.48
84703 435 417 $605.70
86005 28 28 $587.55
83540 523 517 $577.95
90649 205 205 $558.65
80076 1,098 1,007 $558.43
83880 61 57 $557.86
90713 326 325 $557.33
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 189 177 $540.42
83735 371 299 $531.50
86901 826 733 $527.79
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 159 146 $525.79
87186 523 516 $520.05
97530 Therapeutic activities, direct patient contact, each 15 minutes 36 12 $512.44
90633 328 323 $503.22
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26 26 $494.76
0250 62 59 $481.05
97014 1,026 309 $470.00
93000 297 294 $455.12
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 144 97 $447.50
92083 14 14 $414.15
A0425 Ground mileage, per statute mile 1,913 1,312 $404.39
85652 698 693 $379.30
92133 14 14 $376.56
87070 162 160 $375.95
90716 308 308 $371.95
90696 86 84 $360.00
90620 63 63 $352.82
99000 485 466 $352.59
J1885 Injection, ketorolac tromethamine, per 15 mg 185 173 $337.58
A7035 Headgear used with positive airway pressure device 15 15 $318.73
82570 771 765 $308.48
86803 142 141 $293.41
84153 619 610 $289.68
0270 348 316 $285.56
73610 14 13 $273.55
90734 336 332 $270.00
96361 Intravenous infusion, hydration; each additional hour 15 14 $262.55
88150 134 123 $250.00
87340 369 368 $239.25
0637 47 47 $238.96
81002 967 883 $234.64
A7038 Filter, disposable, used with positive airway pressure device 27 27 $227.53
81329 28 27 $217.00
82607 460 459 $216.97
84550 938 932 $214.73
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 209 151 $204.36
82274 381 335 $199.68
86140 572 546 $196.50
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 13 13 $188.37
82043 1,050 1,046 $187.39
J2405 Injection, ondansetron hydrochloride, per 1 mg 27 25 $183.80
76700 Ultrasound, abdominal, real time with image documentation; complete 71 71 $180.60
87077 224 221 $177.05
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 66 62 $175.63
83970 39 38 $168.85
84436 788 787 $157.99
82565 216 215 $153.91
87081 323 321 $151.29
83550 446 440 $145.56
76830 Ultrasound, transvaginal 13 13 $140.73
J7030 Infusion, normal saline solution , 1000 cc 19 18 $135.42
99401 283 253 $131.17
86769 13 12 $125.55
A4267 Contraceptive supply, condom, male, each 42 40 $122.91
G0444 Annual depression screening, 5 to 15 minutes 76 66 $119.48
90672 139 139 $117.00
80074 294 288 $116.81
83655 377 377 $109.54
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,598 1,563 $108.78
84460 149 148 $105.56
86480 229 228 $104.12
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 43 $100.00
84481 107 106 $96.83
A4590 Special casting material (e.g., fiberglass) 76 71 $90.00
3078F 3,061 2,920 $87.98
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 51 44 $81.90
84100 162 148 $81.45
84479 656 655 $70.43
97035 506 153 $68.70
82550 77 73 $67.72
92551 1,102 1,101 $63.98
80051 16 16 $60.54
83013 12 12 $59.28
G9920 Screening performed and negative 1,232 1,231 $58.00
87210 30 28 $52.44
96110 Developmental screening, with scoring and documentation, per standardized instrument 48 48 $50.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 373 308 $49.92
84480 401 400 $48.61
86431 318 316 $46.53
90460 Immunization administration through 18 years of age via any route, first or only component 311 310 $45.00
86762 288 287 $43.44
86850 532 494 $41.94
82040 82 82 $39.56
3074F 3,128 2,981 $37.50
84520 41 41 $36.87
82950 239 237 $36.30
84146 18 18 $34.05
83001 13 13 $31.12
83002 12 12 $31.04
90744 42 42 $27.00
90680 104 104 $27.00
87806 13 12 $26.22
92015 Determination of refractive state 630 629 $25.00
84450 157 157 $23.88
V2020 Frames, purchases 13 13 $21.31
90710 14 13 $18.00
90723 48 48 $18.00
99442 419 374 $16.75
82310 15 14 $16.32
82150 27 26 $14.40
99173 1,734 1,726 $13.34
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 12 12 $12.00
82248 25 25 $11.35
82962 800 256 $9.90
96156 61 59 $8.41
83050 597 596 $8.08
80069 54 53 $7.52
84075 28 28 $7.36
82247 27 27 $7.16
20553 41 40 $7.03
84155 15 15 $2.90
85651 13 13 $1.88
1160F 683 662 $0.00
1159F 877 834 $0.00
84295 62 49 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 545 545 $0.00
99051 258 245 $0.00
90621 12 12 $0.00
86677 15 14 $0.00
86318 51 51 $0.00
A0424 Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) 316 282 $0.00
83026 56 56 $0.00
92081 670 670 $0.00
90472 Immunization administration, each additional vaccine (list separately) 230 227 $0.00
64495 138 67 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 65 59 $0.00
96160 279 278 $0.00
81401 25 25 $0.00
85014 101 96 $0.00
85007 256 117 $0.00
87150 118 118 $0.00
A0382 Bls routine disposable supplies 63 54 $0.00
3077F 46 44 $0.00
81479 Unlisted molecular pathology procedure 26 26 $0.00
A0422 Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation 113 81 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 18 18 $0.00
3725F 45 45 $0.00
0521F 28 27 $0.00
J9035 Injection, bevacizumab, 10 mg 12 12 $0.00
91300 17 17 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 47 43 $0.00
86696 15 15 $0.00
2022F 84 82 $0.00
90461 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 18 18 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 12 12 $0.00
0002A 14 14 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 14 $0.00
82465 16 16 $0.00
90685 13 13 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 18 15 $0.00
84403 12 12 $0.00
90647 53 53 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 395 395 $0.00
A0420 Ambulance waiting time (als or bls), one half (1/2) hour increments 98 76 $0.00
A0999 Unlisted ambulance service 119 95 $0.00
92499 265 262 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 98 90 $0.00
0001A 33 33 $0.00
99406 380 355 $0.00
1000F 12 12 $0.00
90698 87 83 $0.00
4000F 385 384 $0.00
S9451 Exercise classes, non-physician provider, per session 170 170 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 311 310 $0.00
1036F 180 179 $0.00
64494 141 70 $0.00
94761 110 99 $0.00
99050 272 259 $0.00
3079F 225 219 $0.00
87040 154 137 $0.00
76641 171 101 $0.00
A0398 Als routine disposable supplies 71 63 $0.00
90688 12 12 $0.00
64484 112 56 $0.00
86780 31 26 $0.00
99447 121 95 $0.00
3044F 33 28 $0.00
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 21 17 $0.00
1126F 45 40 $0.00
1170F 33 31 $0.00
H0049 Alcohol and/or drug screening 15 15 $0.00
80050 General health panel 45 45 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 19 17 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 161 161 $0.00
81015 12 12 $0.00
0012A 58 58 $0.00
A7037 Tubing used with positive airway pressure device 13 13 $0.00
99441 13 13 $0.00
96127 73 73 $0.00
4050F 14 13 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 40 38 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 32 30 $0.00
3075F 12 12 $0.00
1101F 21 21 $0.00
0011A 28 28 $0.00
87205 16 12 $0.00
99462 43 32 $0.00
83520 17 12 $0.00
1220F 13 13 $0.00
80047 12 12 $0.00
2000F 17 17 $0.00
86695 14 14 $0.00
3080F 12 12 $0.00
92002 29 29 $0.00
36410 13 12 $0.00