Medicaid Provider Spending

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

UC REGENTS UCI DEPT OF PEDIATRICS

NPI: 1235187311 · ORANGE, CA 92868 · Ph.D. Medical Genetics Physician · NPI assigned 05/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PROVIDER RELATIONS, UCI HEALTH controls 20+ related entities in our dataset. Read more

$3.90M
Total Medicaid Paid
48,341
Total Claims
46,676
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPROVIDER RELATIONS, UCI HEALTH (UPS PROVIDER RELATIONS)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: PROVIDER RELATIONS, UCI HEALTH

ProviderCityStateTotal Paid
REGENTS OF THE UNIVERSITY OF ORANGE CA $10.78M
UC REGENTS ORANGE CA $5.61M
REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA $5.19M
UCI DEPARTMENT OF UROLOGY ORANGE CA $2.49M
REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA $2.32M
REGENTS OF THE UNIVERSITY OF CLAIFORNIA UNIV NEURSCIENCES ORANGE CA $2.31M
REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA $1.75M
UC REGENTS ORANGE CA $1.34M
UC REGENTS ORANGE CA $947K
UC REGENTS ORANGE CA $914K
UNIVERSITY HEAD & NECK SURGEONS ORANGE CA $834K
REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA $792K
THE DEPARTMENT OF PSYCHIATRY ORANGE CA $582K
UCI DEPARTMENT OF DERMATOLOGY ORANGE CA $475K
UC REGENTS ORANGE CA $454K
UC REGENTS ORANGE CA $295K
UC REGENTS DEPARTMENT OF RADIATION ONCOLOGY ORANGE CA $256K
UC REGENTS ORANGE CA $207K
REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA $190K
REGENTS OF THE UNIVERSITY OF ORANGE CA $178K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,861 $888K
2019 6,448 $600K
2020 6,055 $510K
2021 6,417 $592K
2022 5,527 $537K
2023 6,531 $499K
2024 6,502 $273K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 23,270 22,763 $2.05M
99417 Prolong home eval add 15m 5,522 5,362 $434K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,668 4,642 $291K
99245 1,505 1,498 $234K
99358 Prolong nursin fac eval 15m 3,414 3,334 $218K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 660 617 $115K
99205 Prolong outpt/office vis 687 684 $92K
99354 919 905 $77K
93325 955 865 $62K
93320 661 614 $58K
99239 Hospital discharge day management, more than 30 minutes 521 514 $45K
99221 802 798 $45K
93000 1,174 882 $43K
96110 Developmental screening, with scoring and documentation, per standardized instrument 305 297 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 631 620 $26K
90837 Psychotherapy, 53 minutes with patient 240 97 $16K
99233 Prolong inpt eval add15 m 100 24 $7K
99238 Hospital discharge day management, 30 minutes or less 131 122 $7K
S0265 Genetic counseling, under physician supervision, each 15 minutes 14 13 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 433 394 $6K
94760 631 597 $5K
93304 71 58 $5K
Z4305 43 40 $4K
93224 26 25 $4K
Z4306 77 76 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 76 66 $3K
Z4303 89 88 $2K
Z4304 44 40 $2K
G9920 Screening performed and negative 72 72 $2K
93321 72 59 $2K
96127 483 470 $2K
93288 20 16 $838.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 12 $217.78
94375 12 12 $156.12