MISSION GROVE MEDICAL CORPORATION
NPI: 1205224417
· RIVERSIDE, CA 92508
· 363L00000X
$1.65M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
17,023 |
15,384 |
$616K |
| S9083 |
Urgent care center global |
7,243 |
6,457 |
$398K |
| 99204 |
|
4,057 |
4,051 |
$278K |
| 99203 |
|
3,343 |
3,335 |
$190K |
| 99213 |
|
2,790 |
2,621 |
$67K |
| 96372 |
|
2,563 |
2,474 |
$50K |
| 99215 |
Prolong outpt/office vis |
482 |
465 |
$27K |
| 87811 |
|
327 |
325 |
$9K |
| 87426 |
|
133 |
132 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,821 |
1,780 |
$3K |
| 81003 |
|
1,809 |
1,738 |
$3K |
| 99000 |
|
1,008 |
984 |
$2K |
| 94640 |
|
245 |
242 |
$1K |
| 87880 |
|
239 |
238 |
$1K |
| 87804 |
|
174 |
84 |
$946.98 |
| 99202 |
|
22 |
22 |
$790.38 |
| J1885 |
Ketorolac tromethamine inj |
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 |
Dexamethasone sodium phos |
14 |
14 |
$3.88 |
| J7620 |
Albuterol ipratrop non-comp |
12 |
12 |
$1.44 |
| J7613 |
Albuterol non-comp unit |
96 |
94 |
$0.16 |
| H0001 |
Alcohol and/or drug assess |
500 |
485 |
$0.00 |
| G9459 |
Tob non-user |
330 |
327 |
$0.00 |
| H0049 |
Alcohol/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 |