1100 SOUTH ALVARADO STREET, LLC
NPI: 1114291523
· LOS ANGELES, CA 90006
· 314000000X
$1.32M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,789 |
$547K |
| 2019 |
1,546 |
$33K |
| 2020 |
4,527 |
$109K |
| 2021 |
11,837 |
$307K |
| 2022 |
8,980 |
$268K |
| 2023 |
1,634 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0160 |
|
221 |
143 |
$516K |
| 97530 |
|
12,616 |
990 |
$364K |
| 97535 |
|
5,384 |
665 |
$143K |
| 97110 |
|
4,499 |
788 |
$99K |
| 97112 |
|
4,136 |
780 |
$89K |
| 92526 |
|
1,117 |
169 |
$56K |
| 97116 |
|
1,466 |
203 |
$34K |
| U0003 |
Cov-19 amp prb hgh thruput |
208 |
46 |
$7K |
| 97165 |
|
79 |
74 |
$4K |
| 97140 |
|
162 |
25 |
$3K |
| U0005 |
Infec agen detec ampli probe |
194 |
46 |
$3K |
| 97161 |
|
32 |
30 |
$1K |
| 92610 |
|
13 |
13 |
$1K |
| 97162 |
|
26 |
25 |
$736.73 |
| G8979 |
Mobility goal status |
58 |
45 |
$179.93 |
| G8988 |
Self care goal status |
38 |
26 |
$127.25 |
| G8978 |
Mobility current status |
35 |
29 |
$112.60 |
| G8987 |
Self care current status |
17 |
13 |
$64.65 |
| G8980 |
Mobility d/c status |
12 |
12 |
$32.21 |