Medicaid Provider Spending

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

LUZVIMINDA T MONTECILLO MD A PROFESSIONAL CORPORATION

NPI: 1285711812 · INGLEWOOD, CA 90301 · 207R00000X

$102K
Total Medicaid Paid
11,555
Total Claims
10,731
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,693 $9K
2019 2,920 $17K
2020 1,171 $12K
2021 614 $10K
2022 714 $12K
2023 1,748 $21K
2024 2,695 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 4,851 4,522 $68K
99215 Prolong outpt/office vis 877 859 $19K
99000 1,480 1,464 $4K
99309 862 497 $4K
99443 134 124 $2K
82962 1,026 953 $1K
90658 36 36 $837.64
99395 13 13 $449.10
36415 613 608 $444.56
3074F 150 146 $408.30
1159F 151 151 $306.31
1036F 109 109 $215.79
99396 108 108 $198.76
1125F 109 109 $147.00
90656 15 15 $146.70
3008F 143 143 $146.13
1157F 121 121 $145.33
G0444 Depression screen annual 34 34 $128.64
G0008 Admin influenza virus vac 41 41 $126.99
3079F 143 139 $118.13
1003F 159 159 $99.00
90688 29 29 $93.68
1170F 139 139 $78.30
1101F 154 154 $54.00
3077F 14 14 $37.50
1126F 13 13 $0.00
3075F 12 12 $0.00
3078F 19 19 $0.00