Medicaid Provider Spending

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

KEDREN COMMUNITY HEALTH CENTER, INC.

NPI: 1255548483 · LOS ANGELES, CA 90011 · General Practice Physician · NPI assigned 05/17/2007

$9K
Total Medicaid Paid
8,501
Total Claims
7,736
Beneficiaries
25
Codes Billed
2018-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialCHARLES, EARLE CHARLES (CHIEF INFORMATION OFFICER)
Parent OrganizationKEDREN COMMUNITY HEALTH CENTER
NPI Enumeration Date05/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,442 $9K
2019 59 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,062 1,841 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 405 393 $3K
90686 94 94 $1K
1111F 1,310 1,157 $490.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 180 178 $390.90
99406 353 328 $385.17
1036F 900 804 $244.59
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 446 413 $190.97
4004F 476 442 $148.02
90746 13 13 $64.17
G8753 Most recent systolic blood pressure >= 140 mmhg 106 93 $61.75
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 264 242 $23.49
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 205 201 $18.10
82962 360 308 $10.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 73 68 $0.00
1034F 351 325 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 64 63 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 60 56 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 311 283 $0.00
3014F 14 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 14 13 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 395 364 $0.00
90715 15 15 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 17 $0.00