Medicaid Provider Spending

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

ANTELOPE VALLEY SURGICAL ASSOCIATES

NPI: 1144433434 · LANCASTER, CA 93534 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI assigned 05/07/2007

$7K
Total Medicaid Paid
113
Total Claims
99
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialPETRIK, PAVEL (CEO)
NPI Enumeration Date05/07/2007

Related Entities

Other providers sharing the same authorized official: PETRIK, PAVEL

ProviderCityStateTotal Paid
PAVEL V PETRIK MEDICAL CORPORATION LANCASTER CA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98 $5K
2019 15 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 53 53 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K
99232 Subsequent hospital care, per day, moderate complexity 45 31 $1K