Medicaid Provider Spending

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

KIM-WAYNE MEDICAL ENTERPRISES INC

NPI: 1285927897 · COVINA, CA 91723 · Family Medicine Physician · NPI assigned 05/16/2011

$438.76
Total Medicaid Paid
4,355
Total Claims
4,117
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGIN, JEFFREY (CEO)
NPI Enumeration Date05/16/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 732 $23.76
2019 867 $95.52
2020 705 $60.00
2021 629 $0.00
2022 592 $137.24
2023 490 $122.24
2024 340 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,859 3,627 $378.76
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $60.00
3075F 29 28 $0.00
3008F 294 291 $0.00
3074F 19 19 $0.00
3079F 15 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 12 12 $0.00
3078F 35 35 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 13 13 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 51 $0.00