Medicaid Provider Spending

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

GOLDEN EMPIRE MANAGED CARE, A MEDICAL GROUP, INC

NPI: 1275657827 · BAKERSFIELD, CA 93309 · Health Maintenance Organization · NPI assigned 03/19/2007

$214K
Total Medicaid Paid
15,469
Total Claims
13,512
Beneficiaries
65
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialRISTENPART, SUSAN (PROVIDER RELATIONS)
NPI Enumeration Date03/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,469 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,117 1,822 $83K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,464 1,307 $50K
80053 Comprehensive metabolic panel 1,185 1,063 $33K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 105 105 $8K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 108 107 $7K
83036 Hemoglobin; glycosylated (A1C) 442 434 $5K
80048 Basic metabolic panel (calcium, ionized) 200 154 $4K
36415 Collection of venous blood by venipuncture 1,160 1,109 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 486 374 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 334 331 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 58 15 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,463 1,247 $2K
99490 Ccm add 20min 164 145 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 123 110 $1K
80061 Lipid panel 889 878 $935.23
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $882.28
81001 248 239 $747.30
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 110 70 $664.86
J1885 Injection, ketorolac tromethamine, per 15 mg 99 86 $637.95
99215 Prolong outpt/office vis 106 105 $567.97
2001F 503 325 $543.93
86038 108 105 $509.96
87086 Culture, bacterial; quantitative colony count, urine 89 86 $365.55
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 12 $319.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 57 55 $306.29
3008F 634 453 $302.16
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 220 194 $242.35
2010F 509 327 $204.70
71046 Radiologic examination, chest; 2 views 18 15 $186.11
84439 117 116 $184.59
82607 114 114 $164.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 76 54 $144.91
99401 120 120 $123.56
81003 19 19 $90.73
86140 78 76 $73.48
82043 163 163 $54.78
80076 62 62 $49.34
84436 43 43 $38.01
1159F 102 77 $33.23
83880 16 12 $30.15
85610 34 30 $17.63
84443 Thyroid stimulating hormone (TSH) 567 557 $17.17
92551 17 17 $12.97
83735 107 57 $12.04
85730 15 13 $7.16
85651 15 14 $3.37
84484 35 27 $0.70
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 49 43 $0.00
1160F 101 76 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 79 67 $0.00
84550 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 13 $0.00
81002 37 35 $0.00
3078F 73 60 $0.00
3077F 14 12 $0.00
84479 51 51 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 26 24 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 106 106 $0.00
94760 45 43 $0.00
3074F 34 28 $0.00
86592 12 12 $0.00
84153 12 12 $0.00
1126F 25 20 $0.00
1125F 37 28 $0.00
83690 15 13 $0.00