Medicaid Provider Spending

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

ALFRED B DADIVAS MD INC

NPI: 1184806606 · FONTANA, CA 92336 · Internal Medicine Physician · NPI assigned 11/27/2007

$122.53
Total Medicaid Paid
331
Total Claims
311
Beneficiaries
1
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialDADIVAS, ALFRED (PRESIDENT)
NPI Enumeration Date11/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 243 $119.77
2019 88 $2.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 331 311 $122.53