Medicaid Provider Spending

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

PENA, CESAR

NPI: 1295846723 · CHULA VISTA, CA 91910 · Internal Medicine Physician · NPI assigned 08/31/2006

$547K
Total Medicaid Paid
17,257
Total Claims
13,330
Beneficiaries
13
Codes Billed
2018-01
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,119 $70K
2019 3,692 $91K
2020 3,419 $100K
2021 2,963 $117K
2022 2,673 $102K
2023 1,391 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,000 10,381 $389K
99232 Subsequent hospital care, per day, moderate complexity 4,368 1,108 $84K
99205 Prolong outpt/office vis 173 172 $32K
99223 Prolong inpt eval add15 m 363 350 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 175 172 $14K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 626 600 $7K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 133 133 $2K
99238 Hospital discharge day management, 30 minutes or less 105 100 $1K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 25 25 $184.29
90694 186 186 $145.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $143.25
G0008 Administration of influenza virus vaccine 69 69 $0.00
90686 22 22 $0.00