Medicaid Provider Spending

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

HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC

NPI: 1184663965 · SAN JOSE, CA 95116 · Internal Medicine Physician · NPI assigned 06/06/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$16.34M
Total Medicaid Paid
320,076
Total Claims
179,207
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date06/06/2006

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,588 $1.44M
2019 51,763 $2.94M
2020 41,605 $2.27M
2021 51,235 $2.73M
2022 44,750 $2.26M
2023 62,392 $3.22M
2024 31,743 $1.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 174,999 66,014 $8.36M
99223 Prolong inpt eval add15 m 33,879 33,072 $2.87M
99239 Hospital discharge day management, more than 30 minutes 38,457 37,389 $2.01M
99232 Subsequent hospital care, per day, moderate complexity 48,164 21,238 $1.66M
99497 4,267 4,070 $218K
99220 2,343 2,211 $217K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,667 1,856 $205K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,894 1,728 $200K
99222 Initial hospital care, per day, moderate complexity 2,544 2,485 $191K
99284 Emergency department visit for the evaluation and management, high severity 2,017 1,914 $138K
99238 Hospital discharge day management, 30 minutes or less 2,315 2,288 $92K
99283 Emergency department visit for the evaluation and management, moderate severity 1,648 1,548 $73K
99217 1,045 954 $36K
99226 469 347 $29K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,204 1,073 $19K
99219 154 122 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity 173 168 $5K
99221 88 88 $3K
99499 81 51 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 62 13 $2K
99225 27 14 $1K
99218 27 27 $694.60
99307 12 12 $61.55
12002 12 12 $0.00
99053 513 498 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 15 $0.00