Medicaid Provider Spending

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

PAJARO VALLEY HEALTH CARE DISTRICT

NPI: 1285346809 · WATSONVILLE, CA 95076 · Internal Medicine Physician · NPI assigned 12/14/2022

$380K
Total Medicaid Paid
5,517
Total Claims
5,072
Beneficiaries
22
Codes Billed
2024-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMENDOZA, LUPE (DIRECTOR)
NPI Enumeration Date12/14/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 5,517 $380K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,124 1,989 $149K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 455 455 $71K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 373 373 $39K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 405 380 $34K
90962 216 216 $21K
90961 75 75 $11K
99215 Prolong outpt/office vis 91 90 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 181 180 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 101 58 $6K
99222 Initial hospital care, per day, moderate complexity 52 52 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 131 41 $5K
99233 Prolong inpt eval add15 m 73 26 $4K
93224 62 62 $4K
99232 Subsequent hospital care, per day, moderate complexity 60 25 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 15 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $2K
81002 940 874 $1K
43235 12 12 $1K
99223 Prolong inpt eval add15 m 15 15 $997.30
11721 97 97 $942.50
93016 13 12 $170.60
93018 13 12 $112.11