Medicaid Provider Spending

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

NPI: 1275591802 · SANTA MONICA, CA 90404 · Adolescent Medicine (Family Medicine) Physician · NPI assigned 05/03/2006

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

Authorized official HALE, KATHERINE controls 12+ related entities in our dataset. Read more

$231K
Total Medicaid Paid
21,118
Total Claims
20,283
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHALE, KATHERINE (DIRECTOR OF ACCOUNTING)
NPI Enumeration Date05/03/2006

Related Entities

Other providers sharing the same authorized official: HALE, KATHERINE

ProviderCityStateTotal Paid
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $35.81M
REGENTS OF THE UNIV OF CA EMER MED LOS ANGELES CA $7.58M
REGENTS UNIVERSITY OF CALIFORNIA SANTA MONICA CA $7.36M
JULES STEIN EYE INSTITUTE MEDICAL GROUP LOS ANGELES CA $2.16M
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $1.72M
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $1.58M
REGENTS OF THE UNIVERSITY OF CALIFORNIA VAN NUYS CA $611K
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $287K
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES LOS ANGELES CA $201K
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $191K
UCLA ASSOCIATED GENERAL SURGEONS LOS ANGELES CA $170K
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,021 $22K
2019 5,493 $81K
2020 2,423 $37K
2021 1,496 $21K
2022 2,038 $22K
2023 4,250 $18K
2024 4,397 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,483 4,231 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,817 7,517 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 485 484 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 322 322 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 370 369 $15K
90686 701 673 $6K
92551 660 656 $6K
90651 109 100 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 37 37 $1K
99233 Prolong inpt eval add15 m 65 25 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 299 245 $970.30
92552 58 58 $810.23
99223 Prolong inpt eval add15 m 13 12 $475.80
90648 53 52 $459.00
99000 437 432 $413.36
90670 46 45 $405.00
90734 16 16 $144.00
99215 Prolong outpt/office vis 12 12 $119.60
99173 62 62 $55.56
3078F 1,721 1,675 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 25 25 $0.00
1160F 115 112 $0.00
1159F 177 172 $0.00
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 20 19 $0.00
3074F 1,850 1,806 $0.00
1126F 955 920 $0.00
1111F 184 180 $0.00
3044F 26 26 $0.00