Medicaid Provider Spending

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

MARCH LANE PEDIATRIC GROUP

NPI: 1174868897 · STOCKTON, CA 95207 · Pediatrics Physician · NPI assigned 12/06/2012

$2.59M
Total Medicaid Paid
241,643
Total Claims
234,910
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOUTTAPA, ANGE (PHYSICIAN)
NPI Enumeration Date12/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40,148 $456K
2019 36,369 $355K
2020 29,392 $277K
2021 30,944 $288K
2022 34,628 $306K
2023 36,829 $469K
2024 33,333 $441K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97802 22,181 21,840 $739K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24,906 24,450 $465K
G9920 Screening performed and negative 8,173 8,097 $269K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,019 37,047 $238K
99381 3,321 3,297 $182K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 5,012 4,705 $104K
D1206 Topical application of fluoride varnish 3,504 3,463 $78K
99173 20,778 20,455 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,195 7,104 $65K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,979 8,871 $65K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,113 4,096 $63K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,845 7,746 $38K
99188 1,506 1,495 $32K
92552 21,561 21,241 $23K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 572 571 $19K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,459 1,459 $18K
99383 598 598 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 212 211 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,115 4,085 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 666 650 $8K
90680 4,180 4,157 $7K
90651 5,147 5,103 $7K
90670 6,157 6,111 $7K
99382 339 338 $7K
90698 3,250 3,232 $4K
90744 2,164 2,163 $4K
90697 2,144 2,114 $4K
99239 Hospital discharge day management, more than 30 minutes 60 60 $4K
90686 6,258 6,252 $3K
99384 131 131 $3K
90619 1,632 1,631 $3K
99460 47 47 $3K
90620 2,376 2,353 $2K
90633 4,185 4,124 $2K
90677 884 861 $1K
90715 2,107 2,092 $1K
90700 1,888 1,859 $1K
90716 2,027 1,999 $1K
90734 2,299 2,258 $1K
90648 1,466 1,436 $959.04
G9919 Screening performed and positive and provision of recommendations 29 28 $858.40
90707 1,935 1,907 $684.00
90710 1,077 1,054 $486.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 28 25 $482.04
90696 1,019 1,003 $427.50
86580 114 112 $349.44
90656 584 584 $247.35
90713 204 204 $243.00
90688 135 129 $0.00
90685 62 62 $0.00