Medicaid Provider Spending

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

PRAESIDIUM DIAGNOSTIC LLC

NPI: 1265011464 · VENICE, CA 90291 · Clinic/Center · NPI assigned 04/05/2021

$64K
Total Medicaid Paid
3,737
Total Claims
3,369
Beneficiaries
2
Codes Billed
2021-09
First Month
2022-04
Last Month

Provider Details

Authorized OfficialOWEN, TRAVIS (CFO)
NPI Enumeration Date04/05/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,503 $40K
2022 1,234 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,032 1,839 $46K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,705 1,530 $18K