Medicaid Provider Spending

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

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

NPI: 1255729661 · VAN NUYS, CA 91411 · Family Medicine Physician · NPI assigned 01/07/2015

$13.63M
Total Medicaid Paid
191,303
Total Claims
137,503
Beneficiaries
70
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialBUSHERI, SHEILA (CEO)
NPI Enumeration Date01/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,077 $2.18M
2019 28,173 $2.48M
2020 52,856 $3.14M
2021 63,515 $3.99M
2022 30,682 $1.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 84,038 58,208 $11.13M
00003 Internal/system code - not a standard HCPCS code 13,377 6,581 $2.37M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,282 11,974 $54K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 693 497 $22K
90832 Psychotherapy, 30 minutes with patient 7,348 2,638 $17K
90834 Psychotherapy, 45 minutes with patient 1,316 627 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23,452 20,701 $5K
0012A 415 407 $4K
0002A 92 91 $4K
0001A 70 70 $3K
90791 Psychiatric diagnostic evaluation 260 236 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 6,221 6,178 $2K
0064A 56 56 $2K
0011A 492 487 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 120 120 $675.90
90837 Psychotherapy, 53 minutes with patient 52 28 $650.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 854 798 $620.43
81025 95 94 $196.00
90853 Group psychotherapy (other than of a multiple-family group) 37 13 $60.92
81002 337 329 $5.16
97032 3,962 1,348 $0.00
97802 232 229 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,014 1,364 $0.00
99000 9,216 8,709 $0.00
88142 128 127 $0.00
1036F 492 479 $0.00
97010 3,861 1,321 $0.00
3008F 95 95 $0.00
1125F 620 593 $0.00
97035 1,073 370 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 65 65 $0.00
90686 281 280 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 46 27 $0.00
3074F 1,062 1,019 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 27 27 $0.00
90674 56 55 $0.00
3044F 1,101 1,089 $0.00
1126F 362 344 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 398 311 $0.00
1000F 555 543 $0.00
3075F 62 61 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 538 536 $0.00
3079F 318 310 $0.00
99441 465 408 $0.00
92551 39 39 $0.00
86580 73 71 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 43 42 $0.00
99384 13 13 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 14 13 $0.00
9441 34 33 $0.00
9442 14 12 $0.00
85018 40 40 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 26 26 $0.00
81000 12 12 $0.00
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,668 1,095 $0.00
97161 456 450 $0.00
1160F 479 455 $0.00
82948 2,699 2,403 $0.00
90756 420 420 $0.00
3078F 824 790 $0.00
99173 407 404 $0.00
1159F 479 457 $0.00
83026 364 361 $0.00
90649 54 53 $0.00
92552 98 98 $0.00
99442 284 250 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 55 52 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 27 27 $0.00
3077F 33 32 $0.00
90715 12 12 $0.00