PACIFIC HORIZON MEDICAL CENTER INC.
NPI: 1285826669
· SAN GABRIEL, CA 91776
· Clinic/Center
$480K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,074 |
$262K |
| 2019 |
649 |
$45K |
| 2020 |
274 |
$6K |
| 2021 |
2,524 |
$63K |
| 2022 |
3,003 |
$86K |
| 2023 |
650 |
$8K |
| 2024 |
570 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
592 |
591 |
$219K |
| 99443 |
|
1,534 |
1,312 |
$58K |
| 99214 |
|
2,298 |
1,951 |
$57K |
| 99203 |
|
376 |
375 |
$51K |
| 99213 |
|
1,418 |
797 |
$30K |
| 99202 |
|
1,069 |
1,066 |
$27K |
| 99212 |
|
900 |
746 |
$14K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
772 |
772 |
$10K |
| 99215 |
Prolong outpt/office vis |
238 |
206 |
$7K |
| 93880 |
|
85 |
85 |
$2K |
| 93923 |
|
57 |
57 |
$2K |
| 76881 |
|
124 |
85 |
$951.93 |
| 93306 |
|
24 |
24 |
$846.78 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
20 |
20 |
$600.00 |
| 93980 |
|
18 |
18 |
$502.11 |
| 93000 |
|
39 |
38 |
$290.25 |
| 93925 |
|
57 |
57 |
$206.60 |
| 76775 |
|
16 |
15 |
$120.78 |
| 93970 |
|
18 |
18 |
$120.73 |
| 76700 |
|
12 |
12 |
$74.88 |
| 90674 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 93312 |
|
24 |
24 |
$0.00 |