Medicaid Provider Spending

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

LODI CHILDREN'S CLINIC MEDICAL CORPORATION

NPI: 1235203688 · LODI, CA 95242 · Primary Care Clinic/Center · NPI assigned 11/19/2006

$2.50M
Total Medicaid Paid
176,068
Total Claims
169,742
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANUNCIACION, ROY (PRESIDENT)
NPI Enumeration Date11/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,538 $267K
2019 26,243 $216K
2020 22,621 $309K
2021 32,252 $600K
2022 28,512 $500K
2023 20,439 $319K
2024 18,463 $289K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 7,481 7,401 $700K
97802 10,346 10,245 $314K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,014 15,793 $273K
G9920 Screening performed and negative 8,092 8,036 $273K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,254 1,652 $154K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,353 3,193 $134K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,395 30,208 $127K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,725 2,554 $66K
D1206 Topical application of fluoride varnish 2,817 2,794 $64K
90472 Immunization administration, each additional vaccine (list separately) 1,007 995 $55K
99173 9,813 9,710 $37K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,917 5,615 $33K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,202 1,193 $23K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,843 1,836 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,031 3,001 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,556 4,523 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,553 4,508 $20K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 717 685 $19K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,228 1,189 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,036 4,912 $16K
99000 3,625 3,453 $15K
99188 581 573 $12K
90680 1,625 1,589 $10K
99381 138 135 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,051 3,880 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 870 861 $6K
90651 2,106 2,093 $6K
99406 459 457 $5K
86580 1,461 1,441 $5K
90734 1,662 1,646 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 339 175 $4K
96127 645 629 $3K
92551 12,260 12,095 $3K
0071A 67 67 $3K
0001A 47 47 $2K
90686 4,894 4,891 $2K
90670 3,215 3,172 $2K
81000 658 650 $2K
90677 73 73 $1K
0072A 34 34 $1K
0002A 28 28 $1K
81002 328 320 $819.87
99460 14 14 $792.96
90619 98 98 $682.76
90480 12 12 $576.00
90716 579 569 $505.69
90723 1,638 1,603 $444.29
90715 963 955 $292.56
90648 2,542 2,500 $284.98
90633 1,918 1,909 $251.01
90710 764 758 $228.92
69209 26 26 $228.59
90697 475 474 $216.94
90707 520 511 $201.22
99383 12 12 $201.06
90656 432 428 $147.00
90696 706 700 $114.20
90700 543 543 $88.09
90685 22 20 $85.66
90688 178 178 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 17 17 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 28 $0.00
90649 35 35 $0.00