Medicaid Provider Spending

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

NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION

NPI: 1194974402 · ANAHEIM, CA 92801 · 207Q00000X

$12.26M
Total Medicaid Paid
205,240
Total Claims
166,933
Beneficiaries
117
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,138 $1.21M
2019 11,829 $1.26M
2020 30,001 $1.56M
2021 39,338 $1.81M
2022 31,615 $1.93M
2023 35,758 $2.17M
2024 45,561 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 47,945 37,343 $6.30M
99213 49,955 36,956 $4.14M
99212 9,668 7,505 $360K
99203 2,660 2,353 $253K
96156 4,621 4,513 $227K
G9012 Other specified case mgmt 340 339 $208K
99214 1,052 946 $143K
99396 691 502 $54K
G0467 Fqhc visit, estab pt 1,632 1,290 $47K
99386 331 254 $33K
0002A 664 373 $33K
0001A 677 383 $29K
99385 348 251 $29K
99395 513 338 $27K
90837 1,419 929 $27K
90471 1,371 1,309 $26K
99000 3,364 3,248 $25K
96151 416 412 $23K
G8510 Scr dep neg, no plan reqd 2,171 2,094 $22K
G2023 Specimen collect covid-19 654 642 $22K
0003A 344 190 $18K
96150 301 300 $17K
93000 544 516 $13K
0012A 277 158 $13K
87426 370 345 $12K
G9920 Scrning perf and negative 1,658 1,634 $12K
96127 2,074 2,037 $11K
99202 409 374 $10K
0011A 260 147 $10K
83036 783 778 $9K
92229 93 88 $9K
99211 327 272 $8K
90688 618 600 $8K
99394 225 161 $7K
92551 1,000 980 $6K
0124A 91 88 $6K
90715 253 251 $5K
0013A 100 56 $5K
87428 126 123 $4K
87811 121 118 $4K
87804 246 218 $4K
81003 1,839 1,604 $3K
99215 Prolong outpt/office vis 63 44 $3K
90834 318 231 $3K
90756 114 113 $3K
92004 1,342 1,044 $3K
99393 107 83 $3K
G8431 Pos clin depres scrn f/u doc 314 307 $2K
99204 39 34 $2K
0071A 43 22 $2K
99406 184 164 $2K
90460 303 298 $2K
90744 62 62 $2K
85018 872 864 $2K
99391 33 33 $1K
99401 78 76 $1K
0072A 18 12 $1K
90686 128 128 $898.98
99173 598 572 $897.62
90461 176 105 $882.00
92552 63 63 $808.05
92015 1,303 1,026 $687.34
90687 49 49 $625.80
90791 47 44 $512.32
82947 144 128 $378.23
99188 12 12 $352.00
81025 206 205 $346.20
81000 48 42 $288.88
G8427 Docrev cur meds by elig clin 810 725 $200.00
99384 35 20 $150.64
86780 16 16 $129.06
G9903 Pt scrn tbco id as non user 640 574 $114.00
87400 26 15 $110.34
69209 12 12 $75.16
85999 17 17 $51.17
90716 17 17 $45.00
88142 13 13 $12.96
90633 18 18 $9.00
3008F 6,150 4,839 $0.46
3074F 11,875 10,060 $0.17
3078F 10,627 9,098 $0.14
3075F 2,845 2,617 $0.12
3079F 5,228 4,645 $0.11
3077F 2,600 2,303 $0.06
3080F 1,363 1,224 $0.06
1034F 42 35 $0.03
4004F 41 34 $0.02
3046F 13 12 $0.00
92014 40 29 $0.00
G8417 Calc bmi abv up param f/u 5,428 4,664 $0.00
1160F 76 76 $0.00
92340 336 336 $0.00
V2020 Vision svcs frames purchases 556 556 $0.00
92341 128 128 $0.00
G9744 Pt not eli d/t act dig htn 38 38 $0.00
1158F 76 76 $0.00
G8753 Sys bp > or = 140 28 27 $0.00
G9919 Scrn nd pos nd prov of rec 29 29 $0.00
G8783 Bp scrn perf rec interval 443 394 $0.00
G8752 Sys bp less 140 20 18 $0.00
90734 13 13 $0.00
81002 40 26 $0.00
A4267 Male condom 18 17 $0.00
G8482 Flu immunize order/admin 29 27 $0.00
G8420 Calc bmi norm parameters 4,866 4,251 $0.00
G8418 Calc bmi blw low param f/u 628 568 $0.00
G9717 Doc pt dx bipol 59 53 $0.00
Z1034 522 296 $0.00
86580 14 13 $0.00
3044F 62 51 $0.00
G8754 Dias bp less 90 35 34 $0.00
H0049 Alcohol/drug screening 46 46 $0.00
G9902 Pt scrn tbco and id as user 31 27 $0.00
3017F 14 12 $0.00
G8950 Pre-htn or htn doc, f/u indc 12 12 $0.00
99441 36 29 $0.00
90651 14 14 $0.00