Medicaid Provider Spending

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

ARIEL GAVINO M.D. A MEDICAL CORPORATION

NPI: 1164200739 · NORTH HOLLYWOOD, CA 91606 · Primary Care Clinic/Center · NPI assigned 09/15/2023

$5K
Total Medicaid Paid
488
Total Claims
442
Beneficiaries
9
Codes Billed
2023-11
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGAVINO, ARIEL (MEDICAL DIRECTOR)
NPI Enumeration Date09/15/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 104 $4K
2024 384 $575.44

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93923 43 15 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $1K
93925 20 12 $767.20
93970 12 12 $320.54
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47 47 $314.92
99490 Ccm add 20min 152 152 $178.64
96127 131 124 $77.92
82962 34 31 $3.96
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20 20 $0.00