Medicaid Provider Spending

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

PATHWAY MEDICAL GROUP, INC

NPI: 1164473757 · WESTMINSTER, CA 92683 · Pulmonary Disease Physician · NPI assigned 05/16/2006

$4.74M
Total Medicaid Paid
218,772
Total Claims
148,590
Beneficiaries
92
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALKHOULI, HASSAN (C.E. O.)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: ALKHOULI, HASSAN

ProviderCityStateTotal Paid
PATHWAY MEDICAL GROUP, INC GARDEN GROVE CA $330K
PATHWAY MEDICAL GROUP, INC GARDEN GROVE CA $63K
PATHWAY MEDICAL GROUP, INC GARDEN GROVE CA $789.78

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,131 $747K
2019 21,953 $636K
2020 35,648 $579K
2021 38,505 $791K
2022 38,652 $775K
2023 27,719 $656K
2024 28,164 $553K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 11,133 10,578 $888K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,124 16,652 $740K
99233 Prolong inpt eval add15 m 30,320 8,294 $674K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,546 1,943 $503K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,308 9,687 $495K
99232 Subsequent hospital care, per day, moderate complexity 26,825 5,367 $411K
99308 Subsequent nursing facility care, per day, straightforward 15,159 5,327 $215K
96156 3,131 3,075 $172K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 942 915 $82K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 927 918 $76K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 440 431 $46K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 740 730 $38K
G0444 Annual depression screening, 5 to 15 minutes 2,822 2,780 $37K
99238 Hospital discharge day management, 30 minutes or less 1,937 1,865 $35K
99307 3,719 1,566 $34K
93000 704 696 $33K
99215 Prolong outpt/office vis 269 210 $25K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,312 2,185 $24K
G9920 Screening performed and negative 933 912 $20K
99306 Prolong nursin fac eval 15m 750 721 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,450 305 $16K
99000 2,761 2,672 $14K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,085 2,063 $14K
81002 1,195 1,150 $13K
96127 3,177 3,121 $11K
99442 260 250 $10K
96151 471 468 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 773 750 $9K
36415 Collection of venous blood by venipuncture 1,468 1,435 $9K
99335 1,326 968 $7K
90688 364 359 $7K
90694 91 89 $6K
99336 615 551 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 72 71 $6K
99239 Hospital discharge day management, more than 30 minutes 169 167 $5K
99347 327 288 $4K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 632 627 $4K
90756 106 106 $2K
99222 Initial hospital care, per day, moderate complexity 148 145 $2K
99386 12 12 $2K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 26 26 $1K
96150 63 62 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 83 76 $995.89
99407 28 27 $823.56
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 675 667 $756.75
99499 2,285 1,946 $680.99
94726 15 15 $633.09
94729 15 15 $626.78
94060 15 15 $612.57
G8752 Most recent systolic blood pressure < 140 mmhg 4,019 3,813 $405.24
90656 19 19 $398.88
99406 13 13 $395.82
3078F 3,706 3,511 $333.77
99422 38 38 $332.52
99441 12 12 $322.01
99448 21 18 $265.51
G9919 Screening performed and positive and provision of recommendations 13 13 $261.00
99447 27 21 $189.60
3074F 3,519 3,322 $186.73
G8754 Most recent diastolic blood pressure < 90 mmhg 4,498 4,266 $155.01
1159F 6,147 5,754 $143.48
4274F 180 172 $123.69
3008F 7,418 6,993 $97.75
G0008 Administration of influenza virus vaccine 16 15 $61.89
G8783 Normal blood pressure reading documented, follow-up not required 994 963 $57.34
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,001 4,752 $51.04
3080F 793 756 $38.10
1160F 6,116 5,727 $35.83
3079F 1,238 1,182 $32.36
3725F 1,785 1,764 $25.16
1220F 2,020 1,994 $17.62
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,166 1,116 $8.34
G8482 Influenza immunization administered or previously received 223 214 $8.33
1036F 1,297 1,287 $0.02
1000F 901 892 $0.01
3075F 966 935 $0.01
4004F 14 14 $0.01
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,088 1,079 $0.00
1125F 605 594 $0.00
1170F 146 142 $0.00
4037F 83 81 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 747 718 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 320 305 $0.00
1101F 159 157 $0.00
3044F 13 13 $0.00
3077F 1,211 1,149 $0.00
0521F 312 309 $0.00
1158F 633 627 $0.00
1003F 207 206 $0.00
3288F 179 177 $0.00
1090F 148 146 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 13 13 $0.00