Medicaid Provider Spending

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

SAN JOAQUIN PRIME CARE MEDICAL GROUP INC

NPI: 1265580500 · EXETER, CA 93221 · Family Medicine Physician · NPI assigned 01/05/2007

$1.14M
Total Medicaid Paid
57,314
Total Claims
41,723
Beneficiaries
49
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialNYE, RITA (BILLING SUPERVISOR)
NPI Enumeration Date01/05/2007

Related Entities

Other providers sharing the same authorized official: NYE, RITA

ProviderCityStateTotal Paid
OSCAR HERNANDEZ MD MEDICAL CORPORATION PORTERVILLE CA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,888 $654K
2019 28,426 $485K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 15,689 10,350 $889K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,368 13,193 $127K
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 1,389 897 $30K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,651 1,491 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,434 2,433 $15K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,169 1,829 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 935 845 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,152 952 $4K
98940 789 684 $3K
99000 1,489 1,395 $3K
81002 1,062 988 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 561 394 $3K
36410 1,279 1,186 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 95 92 $3K
99401 619 540 $2K
85018 512 491 $2K
81003 484 458 $2K
99173 370 370 $2K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 535 535 $1K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 102 101 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 287 264 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 140 115 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 81 81 $1K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 143 129 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 47 47 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 298 282 $1K
90688 151 141 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 208 206 $982.14
92552 264 263 $979.39
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 62 60 $979.29
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 118 118 $875.53
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 30 30 $802.63
88142 78 73 $720.32
81025 159 145 $525.20
90756 65 64 $473.51
93000 50 50 $378.63
86580 37 37 $183.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 46 37 $153.66
90686 13 13 $109.55
90734 12 12 $73.47
92551 12 12 $70.26
36415 Collection of venous blood by venipuncture 175 171 $61.36
90656 49 48 $54.20
99487 Ccm add 20min 13 13 $35.64
99490 Ccm add 20min 14 14 $0.00
93880 12 12 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12 12 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 42 38 $0.00