Medicaid Provider Spending

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

NORTHERN CALIFORNIA MEDICAL ASSOC INC

NPI: 1245492321 · SANTA ROSA, CA 95404 · Foot & Ankle Surgery Podiatrist · NPI assigned 06/30/2008

$11K
Total Medicaid Paid
251
Total Claims
239
Beneficiaries
4
Codes Billed
2018-01
First Month
2021-02
Last Month

Provider Details

Authorized OfficialDEWALD, SALLY (DIRECTOR OF BUSINESS SERVICES)
NPI Enumeration Date06/30/2008

Related Entities

Other providers sharing the same authorized official: DEWALD, SALLY

ProviderCityStateTotal Paid
NORTHERN CALIFORNIA MEDICAL ASSOC INC SANTA ROSA CA $45K
NORTHERN CALIFORNIA MEDICAL ASSOC INC SANTA ROSA CA $32K
NORTHERN CALIFORNIA MEDICAL ASSOC INC SONOMA CA $901.94
NORTHERN CALIFORNIA MEDICAL ASSOC INC SANTA ROSA CA $80.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $3K
2020 155 $8K
2021 13 $408.48

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 55 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 113 101 $4K
11721 69 69 $2K
11056 14 14 $746.52