COALINGA MEDICAL CENTER, LLC
NPI: 1184655052
· COALINGA, CA 93210
· 174200000X
$254K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
9,673 |
$249K |
| 2020 |
107 |
$2K |
| 2021 |
393 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
532 |
497 |
$170K |
| 0450 |
|
1,207 |
1,137 |
$27K |
| G0467 |
Fqhc visit, estab pt |
73 |
61 |
$5K |
| T1999 |
Noc retail items andsupplies |
306 |
228 |
$5K |
| 70450 |
|
75 |
74 |
$4K |
| 74177 |
|
51 |
50 |
$4K |
| 96374 |
|
178 |
165 |
$3K |
| Z7502 |
|
77 |
76 |
$3K |
| 80053 |
|
639 |
603 |
$3K |
| 85025 |
|
740 |
693 |
$2K |
| 87804 |
|
447 |
437 |
$2K |
| 99212 |
|
110 |
105 |
$2K |
| 80307 |
|
75 |
74 |
$2K |
| 96375 |
|
150 |
144 |
$1K |
| 96365 |
|
67 |
65 |
$1K |
| J7030 |
Normal saline solution infus |
395 |
248 |
$1K |
| 99199 |
|
22 |
20 |
$1K |
| 96372 |
|
119 |
117 |
$1K |
| J3490 |
Drugs unclassified injection |
914 |
527 |
$1K |
| 99213 |
|
112 |
106 |
$1K |
| 87635 |
|
62 |
62 |
$974.89 |
| 93005 |
|
120 |
102 |
$967.20 |
| 96361 |
|
135 |
132 |
$790.97 |
| 87880 |
|
165 |
165 |
$782.48 |
| 81001 |
|
529 |
504 |
$774.34 |
| 99281 |
|
165 |
152 |
$679.38 |
| 99283 |
|
22 |
22 |
$639.70 |
| 0324 |
|
65 |
64 |
$606.69 |
| Z7610 |
|
49 |
29 |
$599.88 |
| 71046 |
|
155 |
154 |
$587.83 |
| 84484 |
|
106 |
87 |
$485.24 |
| 84443 |
|
100 |
100 |
$484.54 |
| 99202 |
|
14 |
14 |
$474.28 |
| 99282 |
|
21 |
20 |
$454.61 |
| 83690 |
|
154 |
146 |
$426.29 |
| 80061 |
|
134 |
133 |
$413.42 |
| 81025 |
|
248 |
237 |
$390.76 |
| J1885 |
Ketorolac tromethamine inj |
103 |
100 |
$274.96 |
| 83036 |
|
133 |
132 |
$273.89 |
| 99000 |
|
317 |
304 |
$268.62 |
| 82150 |
|
108 |
103 |
$265.75 |
| 80048 |
|
87 |
83 |
$256.12 |
| J2405 |
Ondansetron hcl injection |
131 |
126 |
$226.02 |
| 71045 |
|
88 |
81 |
$221.41 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
48 |
47 |
$195.86 |
| 94640 |
|
35 |
25 |
$172.36 |
| 83605 |
|
18 |
15 |
$108.32 |
| 96360 |
|
12 |
12 |
$107.27 |
| 85610 |
|
88 |
72 |
$106.07 |
| J0696 |
Ceftriaxone sodium injection |
29 |
27 |
$103.91 |
| 77067 |
|
26 |
26 |
$96.75 |
| J2270 |
Morphine sulfate injection |
44 |
42 |
$65.27 |
| 85730 |
|
41 |
41 |
$61.56 |
| 87420 |
|
13 |
13 |
$60.72 |
| 83735 |
|
26 |
26 |
$37.45 |
| 85651 |
|
33 |
30 |
$29.43 |
| 84479 |
|
22 |
22 |
$5.68 |
| J2001 |
Lidocaine injection |
13 |
13 |
$4.48 |
| J7613 |
Albuterol non-comp unit |
33 |
25 |
$0.75 |
| 86171 |
|
21 |
17 |
$0.00 |
| 76700 |
|
12 |
12 |
$0.00 |
| 76856 |
|
12 |
12 |
$0.00 |
| A4649 |
Surgical supplies |
147 |
88 |
$0.00 |