DR. JIMMY PHAN MEDICAL CORPORATION
NPI: 1144989385
· LAKE ELSINORE, CA 92530
· Pediatrics Physician
· NPI assigned 12/15/2021
$128K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAN, JIMMY (CEO) |
| NPI Enumeration Date | 12/15/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
681 |
$6K |
| 2023 |
4,984 |
$45K |
| 2024 |
9,675 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
4,917 |
4,376 |
$39K |
| 90697 |
|
380 |
379 |
$16K |
| 92551 |
|
1,432 |
1,431 |
$16K |
| 99391 |
|
518 |
517 |
$13K |
| G9920 |
Screening performed and negative |
2,491 |
2,491 |
$9K |
| 90671 |
|
394 |
394 |
$8K |
| 99212 |
|
910 |
875 |
$6K |
| 99383 |
|
302 |
302 |
$5K |
| 96110 |
|
595 |
594 |
$4K |
| 99392 |
|
543 |
543 |
$3K |
| 99382 |
|
113 |
113 |
$2K |
| 99393 |
|
307 |
307 |
$2K |
| 99381 |
|
28 |
28 |
$1K |
| 99384 |
|
85 |
85 |
$891.36 |
| 90670 |
|
50 |
50 |
$855.00 |
| 99211 |
|
129 |
127 |
$528.65 |
| 99238 |
|
13 |
12 |
$524.95 |
| 99394 |
|
122 |
122 |
$416.50 |
| 99203 |
|
35 |
35 |
$271.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
385 |
385 |
$258.20 |
| 90685 |
|
42 |
42 |
$252.00 |
| 99214 |
|
16 |
15 |
$245.50 |
| 83655 |
|
210 |
209 |
$199.88 |
| 90680 |
|
42 |
42 |
$189.00 |
| 90648 |
|
15 |
15 |
$81.00 |
| 90723 |
|
12 |
12 |
$63.00 |
| 90707 |
|
32 |
32 |
$62.82 |
| 90633 |
|
97 |
97 |
$62.82 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$57.71 |
| 90716 |
|
57 |
57 |
$53.91 |
| 85018 |
|
221 |
220 |
$34.85 |
| 87880 |
|
73 |
72 |
$20.76 |
| 90714 |
|
12 |
12 |
$9.00 |
| 87804 |
|
20 |
19 |
$8.76 |
| 90471 |
|
142 |
141 |
$0.00 |
| 1036F |
|
413 |
413 |
$0.00 |
| 81000 |
|
15 |
15 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
148 |
148 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |