Medicaid Provider Spending

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

SPIRIT MEDICAL GROUP

NPI: 1255029799 · GLENDALE, CA 91205 · Clinic/Center · NPI assigned 04/24/2023

$119K
Total Medicaid Paid
14,670
Total Claims
13,753
Beneficiaries
20
Codes Billed
2023-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDZEBOLO, NICHOLAS (MEDICAL DIRECTOR)
NPI Enumeration Date04/24/2023

Related Entities

Other providers sharing the same authorized official: DZEBOLO, NICHOLAS

ProviderCityStateTotal Paid
BEVERLY MEDICAL GROUP LOS ANGELES CA $117K
CENTRAL MEDICAL GROUP GLENDALE CA $538.17

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 873 $6K
2024 13,797 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,080 1,077 $55K
76881 1,142 738 $11K
93978 896 890 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,823 2,782 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 289 288 $5K
93923 862 444 $4K
93970 975 972 $4K
93925 1,048 1,045 $3K
93880 979 976 $3K
93000 525 519 $2K
95924 420 417 $2K
95923 141 140 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 892 885 $2K
76770 892 885 $1K
76536 892 885 $1K
93040 453 450 $800.98
76641 60 59 $359.42
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 87 87 $282.46
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 121 121 $149.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 93 93 $105.94