Medicaid Provider Spending

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

MONTANA AFFINITY CLINIC LLC

NPI: 1205435864 · UPLAND, CA 91786 · Family Medicine Physician · NPI assigned 10/23/2020

$1K
Total Medicaid Paid
2,988
Total Claims
2,682
Beneficiaries
13
Codes Billed
2023-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMONTANA, JOSEPHINE (OWNER)
NPI Enumeration Date10/23/2020

Related Entities

Other providers sharing the same authorized official: MONTANA, JOSEPHINE

ProviderCityStateTotal Paid
AAA FAMILY MEDICAL GROUP HESPERIA CA $4K
EMPIRE HEALTH SYSTEMS APPLE VALLEY CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,075 $230.50
2024 1,913 $830.01

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0442 Annual alcohol misuse screening, 5 to 15 minutes 48 48 $773.47
99443 79 77 $283.24
1160F 524 464 $0.66
0521F 521 462 $0.66
1159F 525 465 $0.66
3008F 516 458 $0.66
1220F 307 278 $0.53
3074F 291 264 $0.51
3078F 90 81 $0.10
4004F 44 44 $0.02
G9920 Screening performed and negative 16 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 12 12 $0.00
3079F 15 13 $0.00