Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SUN VALLEY › SERRA COMMUNITY MEDICAL CLINIC INC

SERRA COMMUNITY MEDICAL CLINIC INC

NPI: 1275545725 · SUN VALLEY, CA 91352 · Allergy Physician · NPI assigned 08/13/2006

$12.81M
Total Medicaid Paid
1,060,825
Total Claims
995,069
Beneficiaries
242
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEREZ, LILY (CREDENTIALING COORDINATOR)
NPI Enumeration Date08/13/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100,096 $420K
2019 133,116 $543K
2020 93,143 $447K
2021 133,134 $689K
2022 181,945 $2.57M
2023 231,555 $4.37M
2024 187,836 $3.78M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 41,538 26,834 $8.36M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,663 68,009 $1.25M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,451 42,553 $596K
99215 Prolong outpt/office vis 14,828 12,969 $406K
97802 19,535 19,068 $147K
99490 Ccm add 20min 7,538 7,450 $108K
77067 Screening mammography, bilateral, including computer-aided detection 3,206 3,198 $108K
99487 Ccm add 20min 3,383 3,370 $106K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,184 4,176 $85K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,440 2,425 $82K
G9920 Screening performed and negative 8,200 8,168 $82K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,793 7,752 $53K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 734 618 $49K
84443 Thyroid stimulating hormone (TSH) 11,377 11,294 $47K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,264 1,254 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,565 1,547 $44K
G9008 Coordinated care fee, physician coordinated care oversight services 302 292 $43K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,348 2,345 $42K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,836 1,817 $41K
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 1,519 1,285 $38K
92551 9,879 9,858 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,419 1,414 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,312 6,789 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,649 1,637 $31K
83036 Hemoglobin; glycosylated (A1C) 12,547 12,464 $30K
99489 Ccm add 20min 1,008 1,005 $28K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 668 663 $26K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,946 1,897 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,980 2,962 $25K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,959 2,942 $25K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,099 1,081 $25K
82607 5,805 5,749 $24K
90686 6,344 6,334 $24K
76642 1,044 1,039 $23K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,194 1,872 $22K
82746 5,308 5,255 $22K
80061 Lipid panel 8,457 8,424 $22K
92015 Determination of refractive state 4,088 4,055 $22K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,532 3,500 $22K
93000 4,484 4,412 $21K
80053 Comprehensive metabolic panel 9,024 8,905 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 686 634 $16K
82043 10,576 10,505 $16K
82565 13,387 13,184 $15K
V2020 Frames, purchases 801 794 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 310 286 $14K
80074 1,805 1,796 $14K
99383 1,310 1,300 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,091 8,938 $13K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,646 1,612 $13K
82570 10,603 10,526 $13K
82947 14,918 14,569 $13K
82247 13,846 13,664 $12K
76830 Ultrasound, transvaginal 451 444 $12K
99491 Ccm add 20min 547 538 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 321 320 $10K
84520 13,348 13,158 $10K
85018 26,750 26,163 $10K
86803 2,546 2,523 $9K
86696 1,944 1,931 $9K
81002 13,670 12,783 $9K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,825 1,736 $9K
99384 820 819 $9K
90651 2,239 2,222 $8K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 176 173 $8K
70450 Computed tomography, head or brain; without contrast material 264 254 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 214 202 $8K
77080 566 562 $8K
82728 2,243 2,232 $8K
93970 192 189 $7K
59425 876 614 $7K
84436 4,791 4,772 $7K
84132 13,372 13,168 $7K
87340 2,645 2,620 $7K
84479 4,590 4,573 $7K
84155 13,802 13,618 $6K
86695 1,942 1,933 $6K
90734 2,037 2,033 $6K
90620 1,920 1,916 $6K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 195 194 $6K
86694 1,853 1,850 $6K
84439 2,394 2,380 $5K
84100 5,242 5,217 $5K
84481 1,166 1,162 $5K
99205 Prolong outpt/office vis 199 196 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,039 976 $5K
85049 13,625 13,399 $4K
97010 3,386 1,361 $4K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,889 2,642 $4K
86780 1,055 1,046 $4K
92002 110 110 $4K
85048 13,749 13,510 $4K
71046 Radiologic examination, chest; 2 views 603 563 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 886 814 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8,508 8,469 $3K
81001 5,297 5,257 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 308 305 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1,199 566 $3K
90670 515 514 $3K
86592 2,607 2,593 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 738 387 $3K
90698 407 406 $2K
82310 13,347 13,156 $2K
83550 1,351 1,345 $2K
83540 1,440 1,435 $2K
84450 13,759 13,579 $2K
90682 133 133 $2K
82948 2,976 2,828 $2K
84075 13,778 13,585 $2K
90716 345 344 $2K
82270 1,742 1,733 $2K
87086 Culture, bacterial; quantitative colony count, urine 1,233 1,226 $2K
90707 276 276 $1K
82465 12,434 12,372 $1K
90715 422 421 $1K
76770 56 52 $1K
76801 46 37 $1K
1036F 65,222 57,148 $1K
11721 219 219 $1K
87088 692 685 $1K
99406 549 484 $1K
84295 13,349 13,160 $1K
G0008 Administration of influenza virus vaccine 195 191 $1K
73562 134 132 $1K
82435 13,331 13,142 $1K
99221 90 87 $1K
72192 27 26 $1K
90633 176 176 $1K
99232 Subsequent hospital care, per day, moderate complexity 34 13 $949.12
93307 15 15 $933.74
99253 32 31 $880.56
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 142 120 $839.73
90685 149 149 $807.47
84153 128 128 $793.31
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 58 43 $748.66
84445 61 61 $716.03
84480 186 185 $685.35
99238 Hospital discharge day management, 30 minutes or less 109 103 $673.35
73630 54 54 $671.44
81025 499 482 $649.19
97161 848 828 $626.00
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 886 751 $624.00
84460 13,747 13,567 $612.29
99284 Emergency department visit for the evaluation and management, high severity 95 94 $609.03
85014 13,607 13,382 $607.76
86580 618 615 $589.41
90744 95 95 $585.62
84478 12,423 12,361 $580.33
G0442 Annual alcohol misuse screening, 5 to 15 minutes 459 454 $578.37
90677 57 57 $569.19
72110 49 48 $564.33
82248 657 653 $554.64
82374 13,342 13,153 $509.99
83718 12,433 12,371 $469.51
00812 12 12 $443.84
90662 96 96 $441.96
99223 Prolong inpt eval add15 m 13 13 $441.87
80076 258 257 $432.52
86705 2,478 2,456 $413.41
G0444 Annual depression screening, 5 to 15 minutes 507 500 $386.77
36415 Collection of venous blood by venipuncture 14,169 13,538 $385.10
82040 13,759 13,579 $346.90
86709 2,480 2,457 $328.88
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 430 426 $304.95
J1050 Injection, medroxyprogesterone acetate, 1 mg 38 38 $294.88
86376 133 133 $294.61
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 600 562 $287.03
90696 56 56 $279.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,430 1,415 $273.22
99000 102 40 $240.53
90658 301 301 $234.00
87184 169 167 $196.93
84550 261 261 $196.90
99173 9,301 9,285 $184.68
99201 40 40 $181.36
76536 13 13 $177.42
71045 Radiologic examination, chest; single view 41 39 $171.48
85060 104 103 $162.70
99244 Office or other outpatient consultation, moderate to high complexity 12 12 $161.18
88141 61 61 $156.32
90681 25 25 $135.00
97014 37 26 $121.33
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 39 $104.97
86140 121 121 $82.08
73030 12 12 $76.80
85651 151 150 $68.98
83655 26 25 $67.90
97032 488 180 $60.00
85730 41 41 $53.10
73610 15 15 $49.78
90697 12 12 $45.00
3288F 210 208 $38.38
85044 91 90 $36.68
3044F 9,867 9,792 $36.23
85610 41 41 $34.60
82962 1,778 1,645 $25.20
3061F 7,629 7,585 $19.31
97035 174 82 $14.72
83690 104 104 $11.66
86901 27 27 $9.79
86900 27 27 $9.47
3060F 1,189 1,181 $6.42
87070 32 30 $0.14
3072F 623 619 $0.12
2022F 399 384 $0.11
84702 30 29 $0.09
3074F 39,080 35,714 $0.07
3078F 40,307 37,122 $0.05
3077F 9,642 9,112 $0.04
86800 18 18 $0.02
2023F 302 302 $0.02
0502F 2,250 1,520 $0.01
1003F 11,932 11,017 $0.01
3079F 11,346 10,781 $0.01
3075F 6,101 5,881 $0.01
1158F 184 183 $0.00
1160F 1,530 1,487 $0.00
3046F 54 53 $0.00
G8482 Influenza immunization administered or previously received 89 87 $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) 329 329 $0.00
1090F 173 172 $0.00
3045F 176 158 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 99 98 $0.00
1159F 370 368 $0.00
T4541 Incontinence product, disposable underpad, large, each 38 38 $0.00
4040F 53 52 $0.00
3050F 36 36 $0.00
91312 12 12 $0.00
0124A 12 12 $0.00
3080F 3,652 3,481 $0.00
S9451 Exercise classes, non-physician provider, per session 18,059 17,675 $0.00
1170F 229 226 $0.00
1101F 128 127 $0.00
3048F 44 44 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 529 529 $0.00
99496 30 28 $0.00
1126F 109 109 $0.00
1111F 78 74 $0.00
1015F 138 138 $0.00
87077 25 25 $0.00
99495 12 12 $0.00
0500F 12 12 $0.00