Medicaid Provider Spending

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

BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION

NPI: 1215991534 · RIVERSIDE, CA 92505 · Specialist · NPI assigned 04/13/2006

$339K
Total Medicaid Paid
102,224
Total Claims
98,210
Beneficiaries
90
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOLIVAR, ALVARO (CO-OWNER)
NPI Enumeration Date04/13/2006

Related Entities

Other providers sharing the same authorized official: BOLIVAR, ALVARO

ProviderCityStateTotal Paid
QUALITY CARE IPA INLAND EMPIRE, INC SAN BERNARDINO CA $100.17

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,262 $33K
2019 10,835 $30K
2020 9,779 $28K
2021 12,980 $21K
2022 10,862 $23K
2023 27,991 $44K
2024 27,515 $160K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,857 1,843 $112K
47562 145 143 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,586 6,125 $53K
99223 Prolong inpt eval add15 m 207 202 $14K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,654 1,629 $11K
1160F 4,757 4,473 $5K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 2,705 2,567 $5K
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment 2,683 2,545 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 897 881 $5K
G9920 Screening performed and negative 1,489 1,390 $5K
99423 2,035 1,942 $4K
G0444 Annual depression screening, 5 to 15 minutes 4,159 3,961 $4K
96160 1,560 1,455 $4K
2010F 4,915 4,626 $4K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,790 2,758 $4K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,199 3,154 $3K
1159F 3,790 3,523 $3K
97803 2,272 2,235 $3K
3074F 3,336 3,157 $3K
99233 Prolong inpt eval add15 m 68 30 $3K
3078F 2,838 2,689 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,256 4,078 $3K
36415 Collection of venous blood by venipuncture 1,376 1,326 $2K
3011F 2,057 2,028 $2K
99000 4,329 4,226 $1K
1158F 2,661 2,629 $1K
1126F 1,857 1,760 $1K
96156 2,431 2,395 $1K
94760 4,603 4,338 $1K
1000F 2,174 2,132 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 311 306 $1K
3044F 2,197 2,161 $1K
1036F 1,635 1,588 $980.00
3279F 1,334 1,308 $980.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,454 1,397 $840.00
1125F 755 720 $840.00
H0049 Alcohol and/or drug screening 724 698 $825.00
3048F 1,131 1,116 $700.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,358 1,292 $679.72
3077F 411 394 $630.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 891 858 $630.00
3079F 1,033 984 $630.00
V2799 Vision item or service, miscellaneous 468 468 $478.09
3061F 691 675 $420.00
99443 58 55 $254.40
G9903 Patient screened for tobacco use and identified as a tobacco non-user 409 394 $175.00
3050F 246 244 $140.00
3049F 416 403 $140.00
99385 65 65 $124.25
A4670 Automatic blood pressure monitor 272 262 $77.94
3008F 1,724 1,690 $70.00
87110 172 161 $60.00
83036 Hemoglobin; glycosylated (A1C) 1,131 1,128 $59.42
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 299 294 $58.80
97802 401 397 $27.31
96151 26 26 $1.17
1033F 664 657 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 262 262 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 14 14 $0.00
3725F 345 333 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 85 85 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 50 50 $0.00
1003F 76 76 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 122 118 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 66 66 $0.00
G8482 Influenza immunization administered or previously received 84 83 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 222 222 $0.00
99442 12 12 $0.00
99448 23 22 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 13 13 $0.00
G8785 Blood pressure reading not documented, reason not given 80 80 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 19 17 $0.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 13 $0.00
3280F 39 36 $0.00
3288F 12 12 $0.00
99406 89 88 $0.00
3080F 124 121 $0.00
1157F 115 115 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 45 41 $0.00
1034F 50 50 $0.00
3075F 101 99 $0.00
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 19 19 $0.00
3014F 29 29 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 12 12 $0.00
96150 13 13 $0.00
99386 34 34 $0.00
85018 24 24 $0.00
1170F 42 42 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 12 12 $0.00
3017F 16 16 $0.00