Medicaid Provider Spending

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

RECTOR WARDENS AND VESTRY OF THE CHURCH OF OUR SAVIOUR IN SAN GABRIEL

NPI: 1245248376 · EL MONTE, CA 91731 · Primary Care Clinic/Center · NPI assigned 08/04/2006

$10K
Total Medicaid Paid
11,199
Total Claims
10,450
Beneficiaries
16
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialO'PRAY, DENIS (RECTOR)
NPI Enumeration Date08/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,318 $4K
2019 6,044 $6K
2020 837 $504.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 3,072 2,806 $9K
90656 102 102 $816.06
99214 282 277 $586.15
3077F 755 709 $44.36
3079F 767 731 $25.00
83036 551 551 $0.13
3078F 2,384 2,195 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 32 32 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $0.00
3080F 248 238 $0.00
3074F 2,231 2,049 $0.00
3075F 494 479 $0.00
3044F 231 231 $0.00
85018 14 14 $0.00
82043 12 12 $0.00
92551 12 12 $0.00