Medicaid Provider Spending

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

PRIME 5 MEDICAL GROUP INC

NPI: 1154947695 · WEST HOLLYWOOD, CA 90048 · Hospitalist Physician · NPI assigned 06/21/2020

$66K
Total Medicaid Paid
7,127
Total Claims
3,805
Beneficiaries
13
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAMEKH, PEJMAN (PRESIDENT)
NPI Enumeration Date06/21/2020

Related Entities

Other providers sharing the same authorized official: SHAMEKH, PEJMAN

ProviderCityStateTotal Paid
PEJMAN D SHAMEKH, M.D., INC LOS ANGELES CA $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 33 $680.10
2021 119 $4K
2022 1,877 $25K
2023 4,170 $33K
2024 928 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,471 850 $35K
99232 Subsequent hospital care, per day, moderate complexity 784 190 $8K
99497 738 720 $7K
99223 Prolong inpt eval add15 m 466 452 $5K
99358 Prolong nursin fac eval 15m 260 210 $4K
99239 Hospital discharge day management, more than 30 minutes 363 347 $2K
99439 388 388 $2K
99490 Ccm add 20min 388 388 $2K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 75 66 $382.34
99457 82 82 $181.76
99484 27 27 $71.82
99284 Emergency department visit for the evaluation and management, high severity 16 16 $0.00
99458 69 69 $0.00