STANISLAUS COUNTY MEDICAL SERVICES A MEDICAL CORPORATION

NPI: 1174980866 · TURLOCK, CA 95382 · Emergency Medicine Physician · NPI assigned 01/26/2016

$1.49M

Total Medicaid Paid

25,562

Total Claims

25,155

Beneficiaries

Codes Billed

2018-01

First Month

2018-10

Last Month

Provider Details

Authorized Official	MITCHELL, CHARLES (PRESIDENT)
NPI Enumeration Date	01/26/2016

Other providers sharing the same authorized official: MITCHELL, CHARLES

Provider	City	State	Total Paid
GRACEFUL TOUCH	LAS VEGAS	NV	$2.60M
RAINBOW SHOWER INPATIENT SERVICES LLC	EWA BEACH	HI	$785K
CEDRA EMERGENCY PHYSICIANS LLC	SEDRO WOOLLEY	WA	$512K
ENT MEDICAL CENTER	BATON ROUGE	LA	$210K
WARTHAN CREEK EMERGENCY PHYSICIANS, A MEDICAL CORPORATION	COALINGA	CA	$109K
STONY GORGE MEDICAL SERVICES A MEDICAL CORPORATION	WILLOWS	CA	$38K
EXCEL-A-CARE EMERGENCY PHYSICIANS, A MEDICAL CORPORATION	GRIDLEY	CA	$18K
KAPIOLANI RADIOLOGY SERVICES LLC	WAILUKU	HI	$12K
BRENTWOOD SKIN CLINIC PLLC	NASHVILLE	TN	$2K

Year	Claims	Total Paid
2018	25,562	$1.49M

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	8,004	7,917	$746K
99283	Emergency department visit for the evaluation and management, moderate severity	11,358	11,295	$493K
99284	Emergency department visit for the evaluation and management, high severity	3,444	3,426	$213K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2,688	2,450	$34K
99282	Emergency department visit for the evaluation and management, low to moderate severity	68	67	$2K