Medicaid Provider Spending

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

MARK TWAIN HEALTH CARE DISTRICT

NPI: 1306311329 · VALLEY SPRINGS, CA 95252 · Rural Health Clinic/Center · NPI assigned 10/05/2018

$7.03M
Total Medicaid Paid
80,869
Total Claims
51,926
Beneficiary Records
51
Codes Billed
2019-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMART, RANDY (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $2K
2020 4,428 $261K
2021 12,807 $888K
2022 12,657 $1.09M
2023 22,233 $2.12M
2024 28,716 $2.67M

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T1015 Clinic visit/encounter, all-inclusive 25,743 21,347 $6.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,138 11,272 $363K
00003 Internal/system code - not a standard HCPCS code 1,296 932 $262K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,714 2,064 $102K
90834 Psychotherapy, 45 minutes with patient 2,904 870 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,524 3,312 $81K
90832 Psychotherapy, 30 minutes with patient 798 315 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 282 149 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 369 214 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 339 176 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 183 102 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 84 68 $6K
92551 1,062 594 $5K
90792 Psychiatric diagnostic evaluation with medical services 111 79 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 940 495 $4K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 222 188 $4K
99383 77 40 $3K
90837 Psychotherapy, 53 minutes with patient 83 41 $3K
85018 2,631 1,448 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 82 46 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 27 $2K
83655 309 162 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 415 295 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 57 30 $1K
99384 28 15 $1K
87807 304 159 $1K
83036 Hemoglobin; glycosylated (A1C) 290 159 $1K
81003 1,053 576 $883.44
90686 223 142 $824.04
90756 66 37 $730.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 201 101 $708.07
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24 13 $416.28
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $251.81
81025 125 68 $223.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 89 57 $133.80
99173 239 137 $129.06
99000 73 47 $39.93
90710 24 14 $27.00
90696 24 13 $27.00
90461 167 94 $9.90
3725F 327 305 $0.00
3078F 1,655 1,306 $0.00
3077F 102 97 $0.00
3008F 4,417 2,671 $0.00
3074F 1,684 1,328 $0.00
3075F 74 73 $0.00
3079F 165 143 $0.00
90698 12 12 $0.00
90656 29 29 $0.00
3080F 40 40 $0.00
36416 14 12 $0.00