Medicaid Provider Spending

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

CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.

NPI: 1265530653 · LOS ANGELES, CA 90027 · Pediatrics Physician · NPI assigned 09/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LIN, JAMES controls 20+ related entities in our dataset. Read more

$24.64M
Total Medicaid Paid
549,970
Total Claims
527,973
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIN, JAMES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: LIN, JAMES

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. LOS ANGELES CA $16.93M
FOCUS MEDICAL IMAGING MONROVIA CA $11.40M
CHLAMG-PATHOLOGY LP LOS ANGELES CA $9.07M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $8.29M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $7.17M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $7.05M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $6.16M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $5.46M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.95M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.60M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.42M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.25M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $3.64M
SOUTHLAND DENTAL ANAHEIM CA $2.72M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.65M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.54M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.22M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.21M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.02M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,286 $906K
2019 35,865 $1.25M
2020 30,503 $1.18M
2021 84,483 $3.93M
2022 115,261 $5.55M
2023 137,303 $6.74M
2024 114,269 $5.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 133,196 132,140 $7.08M
99284 Emergency department visit for the evaluation and management, high severity 56,437 56,102 $4.08M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 35,796 35,299 $3.63M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,328 39,768 $1.75M
99215 Prolong outpt/office vis 17,483 17,217 $1.14M
99244 Office or other outpatient consultation, moderate to high complexity 8,827 8,794 $808K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,781 21,379 $624K
93975 5,422 5,360 $451K
99243 5,924 5,913 $390K
99233 Prolong inpt eval add15 m 6,740 2,590 $375K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,974 3,943 $300K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,484 1,480 $289K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,308 2,263 $245K
70551 Magnetic resonance imaging, brain; without contrast material 3,218 3,177 $230K
92060 8,100 8,054 $194K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,962 2,923 $192K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,037 9,285 $180K
95812 4,016 4,004 $173K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,018 1,984 $171K
99245 1,467 1,460 $168K
43762 736 716 $163K
71046 Radiologic examination, chest; 2 views 23,712 23,329 $160K
76705 Ultrasound, abdominal, real time with image documentation; limited 7,929 7,835 $135K
70450 Computed tomography, head or brain; without contrast material 3,322 3,275 $131K
99239 Hospital discharge day management, more than 30 minutes 1,362 1,339 $95K
69210 3,143 3,009 $89K
74019 6,807 6,631 $84K
92015 Determination of refractive state 8,400 8,366 $72K
71045 Radiologic examination, chest; single view 8,921 6,457 $71K
44970 214 205 $65K
99205 Prolong outpt/office vis 669 667 $65K
76770 3,329 3,305 $63K
95782 443 443 $62K
99223 Prolong inpt eval add15 m 703 675 $61K
T1014 Telehealth transmission, per minute, professional services bill separately 7,203 7,031 $51K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,163 313 $51K
99254 608 601 $48K
99232 Subsequent hospital care, per day, moderate complexity 938 475 $42K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 302 222 $41K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,056 2,051 $39K
96156 398 395 $37K
99222 Initial hospital care, per day, moderate complexity 297 286 $31K
92504 1,797 1,781 $29K
99238 Hospital discharge day management, 30 minutes or less 544 537 $27K
01922 114 112 $24K
74018 3,970 3,636 $24K
99417 Prolong home eval add 15m 561 556 $23K
S0265 Genetic counseling, under physician supervision, each 15 minutes 281 281 $23K
93000 696 664 $22K
74177 Computed tomography, abdomen and pelvis; with contrast material 264 260 $20K
94726 1,299 1,292 $18K
42820 Tonsillectomy and adenoidectomy; younger than age 12 93 93 $17K
49452 12 12 $15K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 355 351 $15K
95720 73 64 $15K
94060 801 801 $14K
99253 237 232 $14K
93325 737 718 $13K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 91 91 $13K
00170 Anesthesia for intraoral procedures, including biopsy 71 71 $11K
73090 1,976 1,824 $11K
73610 2,166 2,123 $10K
99242 187 186 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 486 475 $10K
62322 68 59 $10K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 234 233 $9K
14040 39 38 $8K
94729 977 974 $8K
54161 94 94 $8K
73080 1,119 1,067 $8K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 91 $6K
54830 34 27 $5K
93320 107 104 $5K
99282 Emergency department visit for the evaluation and management, low to moderate severity 105 104 $5K
73590 925 876 $5K
92134 264 254 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 20 12 $4K
91200 264 264 $4K
92133 161 161 $4K
94010 379 371 $3K
97810 360 284 $3K
73630 687 677 $3K
76536 275 274 $3K
72082 202 202 $2K
73130 359 353 $2K
94727 96 93 $2K
92250 71 71 $2K
73562 425 424 $1K
95819 41 41 $1K
72141 26 26 $1K
55175 13 12 $1K
70486 24 24 $1K
31231 24 24 $1K
92201 34 31 $931.21
73110 216 213 $892.38
73140 392 374 $870.69
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 62 62 $853.14
73100 206 197 $805.76
0360 1,522 1,264 $791.64
90791 Psychiatric diagnostic evaluation 13 13 $771.69
72170 230 229 $738.65
99221 13 13 $677.38
93321 13 12 $665.14
73070 107 102 $632.13
99354 13 12 $502.76
76881 38 38 $479.45
72146 12 12 $467.59
76870 15 15 $434.97
77074 16 16 $239.77
95012 13 13 $212.26
99199 Unlisted special service, procedure or report 1,217 1,134 $150.80
77072 47 47 $117.92
99418 Prolong nursin fac eval 15m 16 12 $116.11
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,518 1,444 $107.58
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 483 467 $107.31
73000 12 12 $59.56
73060 13 12 $56.35
72100 13 13 $52.05
0450 Emergency room services 17,291 15,699 $49.60
J3490 Unclassified drugs 3,937 2,666 $49.50
Q3014 Telehealth originating site facility fee 864 816 $45.41
73030 13 13 $44.49
0710 1,671 1,531 $44.35
77080 12 12 $39.89
J2405 Injection, ondansetron hydrochloride, per 1 mg 443 402 $17.53
73560 14 14 $17.24
J0131 Injection, acetaminophen, not otherwise specified,10 mg 106 95 $13.34
80053 Comprehensive metabolic panel 839 757 $10.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg 43 40 $8.70
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 12 12 $8.27
0272 534 492 $8.25
0270 7,265 5,851 $8.25
85025 Blood count; complete (CBC), automated, and automated differential WBC count 609 565 $7.74
0760 7,858 7,298 $0.00
81003 1,933 1,838 $0.00
0123 1,864 1,698 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42 39 $0.00
0302 195 176 $0.00
85007 222 197 $0.00
0300 245 224 $0.00
76775 14 14 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 59 58 $0.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 52 48 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 127 100 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 63 62 $0.00
99218 76 74 $0.00
87186 27 25 $0.00
1160F 16 16 $0.00
82947 12 12 $0.00
0515 5,209 4,899 $0.00
0636 1,427 1,304 $0.00
87086 Culture, bacterial; quantitative colony count, urine 1,030 982 $0.00
86140 147 138 $0.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1,677 1,344 $0.00
0301 858 782 $0.00
0306 1,943 1,774 $0.00
S0020 Injection, bupivicaine hydrochloride, 30 ml 15 14 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 183 171 $0.00
85027 290 257 $0.00
0250 1,378 1,258 $0.00
0259 1,515 1,377 $0.00
84703 204 179 $0.00
0305 722 660 $0.00
87077 54 51 $0.00
J2704 Injection, propofol, 10 mg 313 280 $0.00
0324 60 54 $0.00
0761 1,075 1,029 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 150 134 $0.00
0410 30 25 $0.00
G0378 Hospital observation service, per hour 207 203 $0.00
0370 125 120 $0.00
85652 13 12 $0.00
1126F 16 16 $0.00
87650 27 26 $0.00
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 84 74 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 46 42 $0.00
99000 12 12 $0.00