WEST SACRAMENTOPEDIATRIC MEDICAL GROUP,INC
NPI: 1215009212
· WEST SACRAMENTO, CA 95691
· 261Q00000X
$665K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,194 |
$158K |
| 2019 |
16,347 |
$115K |
| 2020 |
16,375 |
$155K |
| 2021 |
18,197 |
$192K |
| 2022 |
3,545 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
|
2,045 |
2,018 |
$91K |
| G9920 |
Scrning perf and negative |
3,354 |
3,333 |
$63K |
| 96156 |
|
4,381 |
4,331 |
$63K |
| 99391 |
|
1,815 |
1,763 |
$57K |
| 99213 |
|
7,562 |
6,780 |
$52K |
| 96150 |
|
3,907 |
3,839 |
$51K |
| 97802 |
|
2,997 |
2,933 |
$32K |
| H0049 |
Alcohol/drug screening |
1,337 |
1,322 |
$27K |
| 99392 |
|
3,147 |
3,090 |
$24K |
| 99393 |
|
2,501 |
2,477 |
$19K |
| 90670 |
|
1,848 |
1,827 |
$18K |
| 90686 |
|
2,136 |
2,130 |
$16K |
| 90651 |
|
702 |
687 |
$14K |
| 99394 |
|
1,561 |
1,546 |
$13K |
| 99381 |
|
259 |
250 |
$12K |
| 90648 |
|
1,853 |
1,822 |
$12K |
| 90723 |
|
1,471 |
1,453 |
$10K |
| 90710 |
|
825 |
814 |
$8K |
| 92551 |
|
6,285 |
6,231 |
$8K |
| 90680 |
|
1,081 |
1,072 |
$8K |
| 99460 |
|
155 |
152 |
$8K |
| G8510 |
Scr dep neg, no plan reqd |
732 |
726 |
$7K |
| 90633 |
|
1,112 |
1,084 |
$7K |
| 80061 |
|
1,901 |
1,813 |
$6K |
| D1206 |
|
311 |
307 |
$5K |
| 83655 |
|
786 |
763 |
$5K |
| 90734 |
|
540 |
535 |
$4K |
| 99238 |
|
114 |
111 |
$4K |
| 99383 |
|
97 |
90 |
$3K |
| 90685 |
|
370 |
363 |
$2K |
| 90620 |
|
113 |
111 |
$2K |
| 90696 |
|
314 |
311 |
$2K |
| 90715 |
|
211 |
211 |
$2K |
| 99212 |
|
530 |
522 |
$2K |
| 90716 |
|
49 |
45 |
$1K |
| 99382 |
|
44 |
43 |
$1K |
| 90700 |
|
175 |
174 |
$945.00 |
| G0447 |
Behavior counsel obesity 15m |
1,950 |
1,914 |
$914.53 |
| 96111 |
|
293 |
238 |
$877.60 |
| 0071A |
|
48 |
48 |
$813.12 |
| 0002A |
|
29 |
29 |
$766.53 |
| 0072A |
|
19 |
19 |
$729.41 |
| 99401 |
|
1,888 |
1,854 |
$602.20 |
| 0001A |
|
32 |
32 |
$542.08 |
| 99384 |
|
12 |
12 |
$427.80 |
| 0011A |
|
54 |
46 |
$406.56 |
| G8431 |
Pos clin depres scrn f/u doc |
23 |
23 |
$310.00 |
| 0012A |
|
23 |
16 |
$198.73 |
| 96112 |
|
1,695 |
1,689 |
$195.00 |
| 90707 |
|
30 |
30 |
$144.00 |
| D0120 |
|
1,914 |
1,878 |
$121.28 |
| 99173 |
|
952 |
927 |
$22.58 |
| 91301 |
|
53 |
52 |
$0.00 |
| 99050 |
|
22 |
21 |
$0.00 |