Medicaid Provider Spending

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

PACIFIC COAST PODIATRY PC

NPI: 1285080978 · SAN BERNARDINO, CA 92404 · Preferred Provider Organization · NPI assigned 05/11/2016

$22K
Total Medicaid Paid
3,022
Total Claims
3,003
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOHNSEN, CLAYTON (OWNER)
NPI Enumeration Date05/11/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 54 $0.07
2019 45 $0.00
2021 83 $0.00
2022 123 $0.00
2023 1,483 $5K
2024 1,234 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11056 1,021 1,020 $7K
11721 1,316 1,310 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92 89 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 362 354 $2K
99347 191 190 $545.99
99348 26 26 $0.00
93923 14 14 $0.00