Medicaid Provider Spending

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

SAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC

NPI: 1154371623 · WEST COVINA, CA 91790 · Maternal & Fetal Medicine Physician · NPI assigned 05/12/2006

$11.91M
Total Medicaid Paid
224,621
Total Claims
191,064
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAVILA, CARMEN (OFFICE MANAGER)
NPI Enumeration Date05/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,839 $1.33M
2019 28,046 $1.47M
2020 27,070 $1.41M
2021 31,647 $1.63M
2022 36,029 $1.98M
2023 41,455 $2.30M
2024 33,535 $1.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 17,181 16,921 $2.00M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 20,242 20,163 $1.36M
76813 15,649 14,821 $1.31M
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 24,286 17,191 $1.25M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 19,927 18,842 $1.15M
59025 Fetal non-stress test 43,618 23,337 $827K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 11,947 11,434 $579K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,002 1,001 $468K
76801 8,388 8,358 $408K
76825 4,251 4,222 $291K
93325 4,226 4,213 $274K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5,845 5,832 $256K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,747 4,736 $253K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,746 9,776 $248K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,972 3,956 $235K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,509 5,976 $208K
76827 4,229 4,200 $182K
Z1034 1,884 1,573 $102K
76820 3,379 2,742 $99K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,224 3,835 $98K
S0265 Genetic counseling, under physician supervision, each 15 minutes 3,372 3,350 $78K
99241 2,548 2,470 $70K
59514 148 148 $70K
99243 689 672 $46K
99242 365 350 $16K
99451 375 318 $9K
99201 224 224 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 310 147 $6K
99232 Subsequent hospital care, per day, moderate complexity 200 118 $6K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $952.38
99221 13 13 $409.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 28 28 $401.40
99452 15 15 $92.35
36415 Collection of venous blood by venipuncture 69 69 $39.00