Medicaid Provider Spending

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

MARK TWAIN MEDICAL CENTER

NPI: 1205002938 · SAN ANDREAS, CA 95249 · Rural Health Clinic/Center · NPI assigned 05/02/2008

$3.47M
Total Medicaid Paid
30,458
Total Claims
27,937
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBERTS, CHRIS (CFO)
Parent OrganizationMARK TWAIN MEDICAL CENTER
NPI Enumeration Date05/02/2008

Related Entities

Other providers sharing the same authorized official: ROBERTS, CHRIS

ProviderCityStateTotal Paid
MARK TWAIN MEDICAL CENTER ANGELS CAMP CA $5.48M
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $2.95M
CHRIS R ROBERTS DDS, PC DENVER CO $2.34M
MARK TWAIN MEDICAL CENTER ARNOLD CA $1.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,541 $448K
2019 4,189 $367K
2020 4,022 $429K
2021 2,963 $348K
2022 3,768 $382K
2023 6,003 $747K
2024 4,972 $753K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,575 16,915 $3.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,142 2,996 $97K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,745 1,535 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,229 3,020 $63K
G0378 Hospital observation service, per hour 1,608 1,426 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,507 1,417 $25K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 170 169 $14K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 236 230 $10K
90834 Psychotherapy, 45 minutes with patient 52 39 $3K
90686 41 41 $1K
0521 36 35 $841.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $634.20
99215 Prolong outpt/office vis 12 12 $553.56
99406 46 45 $478.86
96127 18 17 $427.80
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 16 15 $202.88
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13 13 $0.00