Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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So, Sandra

So, Sandra was paid $159K by Medicaid between Jan 2018 and Oct 2024, across 56 billing codes. Its largest line is 92551, — 37% of everything it billed.

33Billing provider infoSO, SANDRA
CHINO, CA 91710
33aNPI1184723306assigned 09/22/2006
33bProvider typeSpecialist
28Total paid$159K
24GClaims60,207
24DCodes billed56
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#458 of 1,230
Median peer was paid$51K
This provider vs. median3.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201816,784$41K
201914,501$48K
20205,353$14K
20216,683$20K
20228,732$18K
20237,817$16K
2024incomplete337$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92551 37% 6,545 6,523 $59K
90686 7.5% 2,355 2,314 $12K
90460 Immunization administration through 18 years of age via any route, first or only component 5.9% 920 873 $9K
90670 4.0% 1,104 1,078 $6K
86580 3.7% 627 609 $6K
90651 3.4% 1,178 1,163 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.3% 606 603 $5K
90734 2.8% 733 725 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.6% 3,043 3,032 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.4% 551 543 $4K
90647 2.2% 486 479 $4K
90633 2.0% 646 639 $3K
44 more codes
90461 1.8% 483 $3K
90723 1.8% 473 $3K
99383 1.8% 85 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.8% 2,563 $3K
99213 Doctor's office visit, returning patient (routine) 1.7% 7,750 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.7% 1,258 $3K
99203 Doctor's office visit, new patient (routine) 1.5% 26 $2K
90710 1.4% 348 $2K
99381 1.4% 27 $2K
90696 1.3% 319 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 1,976 $2K
99382 1.2% 38 $2K
90715 1.1% 246 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,153 $597.99
90620 <1% 99 $596.00
90716 <1% 103 $525.00
G9920 Screening performed and negative <1% 14 $406.00
90707 <1% 70 $395.00
90472 Immunization administration, each additional vaccine (list separately) <1% 91 $390.00
90700 <1% 54 $389.00
90680 <1% 84 $259.00
90648 <1% 135 $243.00
90473 <1% 24 $230.00
90697 <1% 31 $172.00
99173 <1% 2,025 $140.72
90685 <1% 63 $140.00
90672 <1% 17 $102.00
85018 <1% 20 $32.80
81002 <1% 12 $20.40
90677 <1% 18 $10.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 3,145 $0.20
3078F 0% 2,067 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 0% 3,461 $0.00
99442 0% 1,060 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 79 $0.00
90621 0% 30 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 13 $0.00
3008F 0% 6,364 $0.00
3079F 0% 95 $0.00
99441 0% 2,937 $0.00
99384 0% 12 $0.00
3074F 0% 2,209 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 313 $0.00
99214 Doctor's office visit, returning patient (more involved) 0% 23 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.