Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FOUNTAIN VALLEY › MEMORIALCARE MEDICAL FOUNDATION

MEMORIALCARE MEDICAL FOUNDATION

NPI: 1205167350 · FOUNTAIN VALLEY, CA 92708 · Physician Assistant · NPI assigned 01/28/2010

$9.29M
Total Medicaid Paid
636,457
Total Claims
578,234
Beneficiaries
202
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSICAEROS, LAURIE (COO/VP PHYSICIAN INTEGRATION)
Parent OrganizationMEMORIAL HEALTH SERVICES, INC.
NPI Enumeration Date01/28/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73,883 $817K
2019 94,119 $1.21M
2020 77,010 $1.26M
2021 103,271 $1.47M
2022 106,472 $1.70M
2023 114,125 $1.90M
2024 67,577 $938K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12,965 12,822 $941K
74177 Computed tomography, abdomen and pelvis; with contrast material 16,753 16,212 $846K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41,713 39,986 $740K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 96,431 90,849 $734K
70450 Computed tomography, head or brain; without contrast material 23,271 20,821 $523K
71045 Radiologic examination, chest; single view 91,169 69,833 $479K
74176 Computed tomography, abdomen and pelvis; without contrast material 5,444 5,268 $252K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,264 6,792 $245K
96156 13,099 12,884 $221K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,502 5,384 $217K
76700 Ultrasound, abdominal, real time with image documentation; complete 11,532 11,397 $217K
99233 Prolong inpt eval add15 m 8,870 3,410 $216K
99232 Subsequent hospital care, per day, moderate complexity 12,797 5,014 $215K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,958 5,808 $191K
71046 Radiologic examination, chest; 2 views 30,084 29,492 $182K
71275 Computed tomographic angiography, chest, with contrast material 3,379 3,254 $182K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,221 6,029 $177K
90686 12,201 11,957 $125K
92551 11,849 11,650 $116K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,841 3,661 $114K
76705 Ultrasound, abdominal, real time with image documentation; limited 8,261 8,089 $114K
99223 Prolong inpt eval add15 m 2,877 2,739 $110K
70551 Magnetic resonance imaging, brain; without contrast material 3,412 3,259 $110K
99215 Prolong outpt/office vis 3,263 3,189 $107K
93970 3,506 3,293 $105K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,944 1,855 $99K
76770 5,435 5,356 $95K
76830 Ultrasound, transvaginal 4,207 4,191 $85K
99222 Initial hospital care, per day, moderate complexity 2,205 2,095 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,156 1,152 $60K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 5,297 5,254 $59K
78815 Positron emission tomography (PET) for limited area imaging 307 306 $58K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,220 1,163 $57K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,864 1,855 $52K
90670 3,496 3,342 $52K
93320 1,944 1,856 $50K
90651 2,602 2,522 $48K
99173 12,799 12,556 $47K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,387 2,317 $43K
93000 3,859 3,815 $42K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,283 4,024 $36K
90734 2,326 2,222 $36K
93304 916 676 $33K
99152 2,019 1,926 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 893 846 $29K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 661 654 $28K
90723 2,373 2,260 $26K
96127 4,524 4,433 $26K
90633 2,563 2,399 $25K
76801 1,047 1,012 $24K
99239 Hospital discharge day management, more than 30 minutes 2,111 2,027 $24K
90647 2,548 2,471 $24K
96151 1,755 1,747 $23K
93321 1,447 1,094 $23K
85018 6,325 6,180 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,071 1,046 $20K
90715 1,640 1,574 $20K
74018 3,337 2,939 $18K
90710 1,054 1,021 $17K
90681 1,258 1,221 $14K
90716 1,136 1,055 $14K
99153 Mod sedat endo service >5yrs 1,453 1,144 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,724 2,688 $13K
72125 Computed tomography, cervical spine; without contrast material 477 470 $12K
93976 549 540 $12K
90707 1,044 956 $12K
90700 1,063 1,032 $11K
0012A 293 293 $11K
90696 1,082 1,042 $10K
96161 3,007 2,918 $10K
0011A 302 300 $10K
74021 1,201 1,032 $9K
93325 3,848 3,240 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 100 36 $9K
0001A 226 226 $9K
0002A 222 222 $9K
93971 825 795 $9K
49083 143 103 $9K
73610 1,433 1,336 $8K
73630 1,523 1,369 $8K
81002 4,037 3,861 $7K
99000 13,982 13,613 $7K
99384 136 136 $7K
99243 114 114 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,494 1,273 $6K
99383 131 131 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 96 96 $6K
76870 259 248 $5K
96150 380 379 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,011 2,981 $5K
73030 681 632 $5K
71250 153 149 $4K
73564 722 605 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 543 386 $4K
76506 325 293 $4K
76536 357 354 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 89 78 $4K
72082 417 408 $4K
93351 24 24 $4K
70498 100 97 $4K
94729 396 396 $4K
70496 73 69 $3K
99221 204 200 $3K
73130 529 483 $3K
71020 333 186 $3K
73110 558 523 $3K
99244 Office or other outpatient consultation, moderate to high complexity 40 40 $3K
94060 341 341 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,058 3,042 $2K
36415 Collection of venous blood by venipuncture 19,557 19,112 $2K
70360 572 566 $2K
G0444 Annual depression screening, 5 to 15 minutes 1,256 1,251 $2K
95811 24 24 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 141 141 $2K
94726 344 344 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 229 143 $2K
74019 289 265 $2K
99238 Hospital discharge day management, 30 minutes or less 147 146 $2K
77072 370 367 $2K
73562 360 311 $2K
76775 92 92 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 310 293 $2K
74183 39 37 $2K
75574 25 24 $2K
73080 305 285 $2K
90658 171 170 $2K
78264 64 64 $1K
99188 195 166 $1K
93312 12 12 $1K
73090 260 231 $1K
71010 206 152 $1K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 27 27 $1K
99497 38 26 $1K
99217 72 71 $1K
73560 236 208 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 324 321 $1K
72197 27 27 $1K
86580 133 129 $989.25
99177 216 184 $981.29
73590 204 183 $968.17
17110 89 86 $964.70
90649 107 107 $963.00
73140 289 270 $933.50
73100 248 217 $806.46
73521 117 115 $802.04
0064A 197 197 $763.94
G0008 Administration of influenza virus vaccine 513 511 $740.89
77001 122 113 $732.37
74240 36 36 $706.72
99382 24 24 $683.67
93793 504 364 $639.74
85999 176 176 $526.75
0013A 13 13 $520.00
90662 218 216 $505.00
73522 58 58 $473.19
90672 50 50 $450.00
73502 68 67 $444.43
90688 35 34 $387.03
99381 12 12 $377.81
72110 36 36 $377.50
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 49 47 $351.36
99219 12 12 $348.15
76937 54 54 $328.95
0072A 27 27 $320.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 32 32 $297.33
0071A 14 14 $280.00
69210 146 139 $270.37
90713 13 13 $242.37
77073 40 40 $233.37
81025 481 474 $227.91
82962 705 638 $224.01
73552 45 39 $201.98
99205 Prolong outpt/office vis 15 15 $187.82
90674 31 31 $186.75
85610 624 453 $186.21
81000 180 166 $182.46
93016 13 13 $174.40
3078F 42 38 $158.11
72100 24 24 $151.66
90744 12 12 $148.49
93018 13 13 $124.12
90656 398 398 $122.99
3074F 14 12 $121.72
36416 119 108 $112.95
73070 30 27 $96.11
73000 18 15 $84.80
74230 14 12 $82.24
1160F 126 110 $81.20
90472 Immunization administration, each additional vaccine (list separately) 41 41 $74.02
96160 67 67 $64.64
72170 13 13 $58.81
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $47.97
J1885 Injection, ketorolac tromethamine, per 15 mg 14 14 $45.00
0298T 12 12 $39.46
G0009 Administration of pneumococcal vaccine 13 13 $3.57
0502F 1,749 1,335 $0.00
3725F 9,037 8,962 $0.00
1159F 12 12 $0.00
90685 81 81 $0.00
91307 18 17 $0.00
91306 159 159 $0.00
90677 12 12 $0.00