Medicaid Provider Spending

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

FOUNTAIN VALLEY PEDIATRICS, INC.

NPI: 1225367071 · FOUNTAIN VALLEY, CA 92708 · Pediatrics Physician · NPI assigned 12/08/2009

$703K
Total Medicaid Paid
47,762
Total Claims
46,890
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKO, ANDREW (PRESIDENT)
NPI Enumeration Date12/08/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,491 $96K
2019 6,649 $95K
2020 5,265 $95K
2021 6,276 $134K
2022 6,989 $154K
2023 8,199 $110K
2024 7,893 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 3,325 3,307 $170K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,566 1,559 $69K
G9920 Screening performed and negative 2,772 2,744 $57K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,123 1,121 $54K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,408 2,242 $51K
97803 2,610 2,587 $38K
92551 3,531 3,520 $37K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,966 3,544 $35K
97802 1,930 1,920 $27K
96151 1,280 1,269 $24K
80061 Lipid panel 3,246 3,232 $23K
90686 1,778 1,769 $13K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 289 289 $12K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 962 955 $11K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 627 622 $10K
81000 3,938 3,890 $10K
96127 3,104 3,081 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 289 289 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 140 124 $7K
99173 2,072 2,063 $7K
87110 550 550 $4K
90651 408 407 $4K
H0049 Alcohol and/or drug screening 200 199 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 1,701 1,680 $3K
0072A 66 66 $3K
85018 2,109 2,104 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 253 247 $2K
92552 131 130 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 244 243 $1K
0071A 35 35 $1K
96160 155 155 $779.99
90461 481 474 $586.71
90734 55 55 $486.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 19 19 $467.55
90619 81 81 $396.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 93 93 $377.38
85999 107 107 $319.06
90710 12 12 $281.00
86580 29 29 $224.84
90620 27 27 $216.00
90658 22 22 $198.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $88.50
99188 14 14 $0.00