Medicaid Provider Spending

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

CHINO VALLEY MEDICAL CENTER

NPI: 1265708572 · CHINO, CA 91710 · Primary Care Clinic/Center · NPI assigned 03/30/2012

$909.88
Total Medicaid Paid
213
Total Claims
204
Beneficiaries
4
Codes Billed
2021-06
First Month
2024-05
Last Month

Provider Details

Authorized OfficialMIRAMONTES, YVETTE (PHYSICIAN ASSISTANT)
NPI Enumeration Date03/30/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $197.90
2022 106 $662.88
2023 13 $49.10
2024 66 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0450 Emergency room services 158 151 $692.90
99281 Emergency department visit for the evaluation and management, self-limited or minor 28 26 $197.90
80053 Comprehensive metabolic panel 13 13 $11.07
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 14 $8.01