Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › IMPERIAL › IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC

IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC

NPI: 1275581894 · IMPERIAL, CA 92251 · General Practice Physician · NPI assigned 05/05/2006

$9.85M
Total Medicaid Paid
640,791
Total Claims
589,984
Beneficiaries
245
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPALAKODETI, VACHASPATHI (PRESIDENT)
NPI Enumeration Date05/05/2006

Related Entities

Other providers sharing the same authorized official: PALAKODETI, VACHASPATHI

ProviderCityStateTotal Paid
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC BRAWLEY CA $1.55M
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP IMPERIAL CA $946K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,490 $966K
2019 86,510 $1.11M
2020 90,892 $959K
2021 102,200 $1.48M
2022 82,544 $1.33M
2023 135,999 $1.78M
2024 97,156 $2.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 102,366 91,239 $2.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80,104 70,213 $1.08M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16,600 16,461 $1.07M
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,930 4,550 $447K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,355 2,329 $316K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,540 1,530 $310K
95811 1,236 1,232 $253K
93015 2,351 2,307 $200K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,226 1,215 $194K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,380 2,340 $183K
99457 14,513 14,442 $162K
99490 Ccm add 20min 60,677 60,574 $161K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,009 2,986 $157K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,018 1,008 $143K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,747 3,530 $129K
93224 1,312 1,307 $123K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,551 2,483 $121K
J2785 Injection, regadenoson, 0.1 mg 1,379 1,345 $119K
99497 6,319 6,289 $113K
10005 3,529 2,073 $111K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,461 2,173 $105K
97803 3,667 3,654 $104K
99454 9,320 9,243 $104K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17,948 13,375 $96K
93000 3,793 3,751 $93K
99244 Office or other outpatient consultation, moderate to high complexity 1,516 1,512 $92K
99381 883 877 $89K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 4,618 4,554 $85K
90686 6,702 6,572 $75K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3,527 3,520 $74K
99215 Prolong outpt/office vis 2,765 2,619 $71K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,488 1,485 $68K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,066 5,062 $50K
93970 761 748 $46K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,570 5,388 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11,171 10,717 $44K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,549 2,271 $44K
99233 Prolong inpt eval add15 m 2,607 1,113 $42K
90670 3,966 3,754 $40K
86580 9,573 9,475 $34K
93880 705 701 $33K
99173 8,722 8,683 $32K
99308 Subsequent nursing facility care, per day, straightforward 5,682 1,950 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,569 2,568 $30K
20611 3,448 1,963 $28K
90680 2,737 2,575 $27K
90698 2,473 2,345 $25K
90710 2,128 2,047 $24K
99458 2,310 2,285 $23K
90633 2,158 2,102 $22K
93923 696 692 $22K
93978 505 498 $21K
83655 1,944 1,831 $21K
81003 14,074 13,176 $21K
0001A 522 517 $21K
93458 216 214 $20K
83036 Hemoglobin; glycosylated (A1C) 10,490 10,426 $19K
95800 160 160 $18K
0002A 458 457 $18K
90744 1,738 1,664 $17K
76705 Ultrasound, abdominal, real time with image documentation; limited 845 842 $16K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 4,410 2,953 $15K
93925 660 655 $15K
90649 1,048 1,048 $15K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 1,865 996 $14K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 842 791 $14K
90734 1,262 1,262 $14K
99223 Prolong inpt eval add15 m 396 389 $12K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2,636 2,628 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 199 199 $11K
92551 8,961 8,916 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 167 164 $11K
93017 1,923 1,894 $10K
90700 1,017 977 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,279 5,167 $10K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,630 1,624 $10K
90648 1,005 962 $10K
90697 598 543 $10K
90696 914 910 $10K
82948 10,978 9,480 $10K
45380 Colonoscopy, flexible; with biopsy, single or multiple 64 64 $9K
95806 149 149 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,132 5,051 $8K
90682 182 182 $8K
93296 2,251 2,233 $8K
93226 1,668 1,654 $8K
93248 658 654 $8K
90677 207 203 $7K
90715 680 680 $7K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 5,014 3,332 $7K
90961 388 387 $7K
93245 19 19 $6K
91200 386 386 $6K
90620 558 558 $6K
0011A 183 162 $6K
99238 Hospital discharge day management, 30 minutes or less 184 182 $6K
0012A 163 157 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 90 90 $6K
93298 578 578 $6K
93016 1,912 1,890 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,765 1,572 $5K
H0033 Oral medication administration, direct observation 237 232 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 577 434 $5K
92552 358 357 $5K
93246 657 654 $5K
99460 128 126 $4K
90651 389 388 $4K
93294 1,375 1,364 $4K
64566 419 263 $4K
93295 517 511 $4K
93280 345 341 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 794 714 $4K
93018 1,900 1,879 $4K
51729 28 28 $4K
99439 999 989 $4K
93297 1,785 1,772 $4K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 700 694 $3K
91320 26 26 $3K
90656 165 161 $3K
93225 1,641 1,628 $3K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 315 308 $3K
85018 14,957 14,501 $3K
99239 Hospital discharge day management, more than 30 minutes 197 194 $3K
51798 735 689 $3K
99205 Prolong outpt/office vis 40 40 $3K
93227 1,681 1,671 $3K
90657 261 260 $2K
0081A 57 57 $2K
99306 Prolong nursin fac eval 15m 231 219 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 268 262 $2K
90662 849 834 $2K
0013A 57 57 $2K
82947 8,353 7,438 $2K
91319 17 17 $1K
76981 13 13 $1K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 26 24 $1K
97802 152 152 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 454 412 $1K
99152 223 217 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 160 160 $1K
G0444 Annual depression screening, 5 to 15 minutes 2,898 2,862 $1K
0004A 25 25 $960.00
0154A 24 24 $950.00
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 34 15 $948.48
99453 342 341 $946.81
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 27 26 $935.82
95251 26 25 $887.88
99305 142 81 $858.94
99336 159 137 $851.73
0082A 20 20 $800.00
51797 28 28 $772.31
99493 834 831 $760.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 120 117 $619.04
51784 30 28 $607.99
90962 23 23 $540.29
51741 45 45 $521.33
82570 1,318 1,308 $488.23
82044 1,160 1,149 $445.35
93290 38 37 $439.92
52000 81 79 $413.83
81002 190 182 $401.08
J0696 Injection, ceftriaxone sodium, per 250 mg 173 158 $379.00
90688 15 15 $298.90
77080 13 13 $293.62
90674 25 25 $276.86
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 12 12 $273.61
93283 12 12 $250.35
99335 27 25 $234.30
94010 13 13 $222.21
87807 23 23 $203.69
99188 44 44 $187.20
93228 46 46 $171.96
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 44 44 $171.07
99000 220 168 $160.03
90460 Immunization administration through 18 years of age via any route, first or only component 123 122 $115.77
96127 25 25 $108.03
94760 211 190 $97.87
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 269 269 $79.14
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15 15 $73.62
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 473 467 $68.80
77086 40 40 $64.62
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 27 27 $61.89
94060 18 15 $50.35
80061 Lipid panel 31 30 $45.68
81025 12 12 $35.67
99492 112 111 $33.77
90461 37 37 $30.94
84443 Thyroid stimulating hormone (TSH) 24 24 $29.22
82607 21 21 $26.40
82043 51 51 $21.90
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 342 342 $21.76
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30 29 $20.04
80053 Comprehensive metabolic panel 32 31 $18.38
90694 99 99 $11.16
99484 63 63 $10.07
99443 27 25 $8.35
82042 119 119 $3.53
3078F 2,962 2,698 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,887 3,726 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 11,345 9,987 $0.00
3725F 711 711 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 69 61 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 31 28 $0.00
1160F 552 486 $0.00
3077F 635 587 $0.00
3288F 290 288 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
1159F 341 327 $0.00
1158F 437 436 $0.00
3095F 95 95 $0.00
87631 16 14 $0.00
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 17 14 $0.00
99091 19 19 $0.00
90653 14 14 $0.00
G8404 Lower extremity neurological exam performed and documented 12 12 $0.00
99487 Ccm add 20min 16 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 220 211 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 4,080 3,526 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 1,098 946 $0.00
3008F 5,934 5,287 $0.00
1170F 1,581 1,580 $0.00
3044F 1,147 1,132 $0.00
3074F 2,160 1,979 $0.00
3075F 506 485 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,032 1,031 $0.00
G0008 Administration of influenza virus vaccine 545 544 $0.00
3079F 587 542 $0.00
1126F 1,535 1,534 $0.00
3080F 163 149 $0.00
36415 Collection of venous blood by venipuncture 53 52 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 28 28 $0.00
1111F 29 29 $0.00
1101F 118 118 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 14 13 $0.00
3017F 15 15 $0.00
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 27 27 $0.00
G0009 Administration of pneumococcal vaccine 53 53 $0.00
3048F 16 15 $0.00
93922 28 28 $0.00
3061F 29 28 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 44 44 $0.00
99494 12 12 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 16 16 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 33 30 $0.00