Medicaid Provider Spending

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

EDMUNDO RUIZ DAVILA, M.D.,INC.

NPI: 1245281682 · FREMONT, CA 94536 · Family Medicine Physician · NPI assigned 05/12/2006

$757.93
Total Medicaid Paid
20
Total Claims
20
Beneficiaries
1
Codes Billed
2024-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialMENDOZA, LUCILLE (OFFICE MANAGER)
NPI Enumeration Date05/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 20 $757.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20 20 $757.93