Medicaid Provider Spending

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

SAN JOAQUIN FACULTY MEDICAL GROUP

NPI: 1225063761 · FRENCH CAMP, CA 95231 · Internal Medicine Physician · NPI assigned 07/12/2006

$12.01M
Total Medicaid Paid
149,766
Total Claims
113,108
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKAPRE, SHEELA (CHIEF MEDICAL OFFICER)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: KAPRE, SHEELA

ProviderCityStateTotal Paid
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $48.27M
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $11.15M
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $11.04M
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $202K
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $3K
COUNTY OF SAN JOAQUIN FRENCH CAMP CA $262.02

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,141 $1.31M
2019 16,954 $1.36M
2020 22,689 $1.58M
2021 23,382 $1.78M
2022 18,972 $1.56M
2023 26,317 $2.13M
2024 26,311 $2.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 6,313 6,296 $4.30M
99232 Subsequent hospital care, per day, moderate complexity 31,217 13,895 $1.18M
99238 Hospital discharge day management, 30 minutes or less 22,632 22,216 $968K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,875 2,132 $887K
99233 Prolong inpt eval add15 m 15,294 7,733 $663K
99460 8,588 8,538 $484K
59514 1,028 996 $347K
99223 Prolong inpt eval add15 m 3,678 3,619 $300K
99222 Initial hospital care, per day, moderate complexity 3,597 3,491 $290K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 536 534 $246K
45380 Colonoscopy, flexible; with biopsy, single or multiple 711 706 $216K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,026 1,017 $215K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,528 3,464 $215K
99231 Subsequent hospital care, per day, straightforward or low complexity 6,456 5,021 $213K
99480 Subsequent intensive care, per day, low birth weight infant 1,237 575 $153K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12,258 9,848 $151K
99254 1,866 1,833 $142K
99284 Emergency department visit for the evaluation and management, high severity 1,535 1,518 $121K
99239 Hospital discharge day management, more than 30 minutes 1,914 1,890 $113K
99462 3,465 2,897 $103K
99468 248 241 $93K
99221 1,835 1,649 $75K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,847 2,820 $62K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 178 178 $61K
59025 Fetal non-stress test 4,000 3,556 $45K
99283 Emergency department visit for the evaluation and management, moderate severity 957 953 $44K
99245 274 273 $42K
99244 Office or other outpatient consultation, moderate to high complexity 300 299 $36K
43235 142 139 $31K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 475 474 $30K
99479 Subsequent intensive care, per day, very low birth weight infant 215 60 $29K
99234 241 215 $27K
93016 736 734 $21K
99310 Prolong nursin fac eval 15m 235 48 $11K
76942 485 458 $11K
94060 435 428 $9K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 64 64 $9K
93308 297 296 $8K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 44 25 $8K
93018 289 284 $6K
94726 503 503 $6K
94729 530 530 $4K
93248 121 121 $3K
00731 38 37 $3K
11981 36 32 $3K
99252 67 64 $3K
99218 38 30 $3K
99253 50 50 $2K
99235 12 12 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 53 53 $2K
93227 82 82 $1K
99255 15 15 $1K
93244 55 55 $1K
99243 14 14 $1K
99306 Prolong nursin fac eval 15m 15 15 $967.31
64415 14 13 $897.53
99309 Subsequent nursing facility care, per day, low to moderate complexity 19 19 $675.70
01936 13 12 $666.86
64447 13 12 $501.74
36620 13 13 $420.99
99281 Emergency department visit for the evaluation and management, self-limited or minor 14 13 $205.90