Medicaid Provider Spending

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

MISSION GROVE MEDICAL CORPORATION

NPI: 1205224417 · RIVERSIDE, CA 92508 · Nurse Practitioner · NPI assigned 12/23/2014

$1.65M
Total Medicaid Paid
45,075
Total Claims
42,092
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLACOMBE, JEAN (AO)
NPI Enumeration Date12/23/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,019 $328K
2019 8,158 $307K
2020 5,300 $181K
2021 5,617 $205K
2022 7,055 $247K
2023 6,422 $208K
2024 6,504 $175K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,023 15,384 $616K
S9083 Global fee urgent care centers 7,243 6,457 $398K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,057 4,051 $278K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,343 3,335 $190K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,790 2,621 $67K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,563 2,474 $50K
99215 Prolong outpt/office vis 482 465 $27K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 327 325 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 133 132 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,821 1,780 $3K
81003 1,809 1,738 $3K
99000 1,008 984 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 245 242 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 239 238 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 174 84 $946.98
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 22 22 $790.38
J1885 Injection, ketorolac tromethamine, per 15 mg 118 118 $204.48
94760 29 28 $149.31
94664 12 12 $78.15
99441 130 123 $26.10
99442 40 40 $20.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14 14 $3.88
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 12 12 $1.44
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 96 94 $0.16
H0001 Alcohol and/or drug assessment 500 485 $0.00
G9459 Currently a tobacco non-user 330 327 $0.00
H0049 Alcohol and/or drug screening 65 64 $0.00
2010F 34 33 $0.00
99443 42 42 $0.00
1033F 288 283 $0.00
99401 86 85 $0.00