Medicaid Provider Spending

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

PEDIATRIC AND FAMILY MEDICAL CENTER

NPI: 1316044522 · LOS ANGELES, CA 90015 · 171M00000X

$45.33M
Total Medicaid Paid
1,271,233
Total Claims
1,031,592
Beneficiaries
198
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 183,407 $13.69M
2019 215,497 $9.53M
2020 176,029 $6.89M
2021 179,749 $6.28M
2022 159,999 $3.84M
2023 182,965 $3.86M
2024 173,587 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 255,067 221,012 $33.19M
00003 51,793 36,694 $8.53M
99213 294,284 226,082 $643K
99214 95,190 74,637 $316K
G9008 Mccd,phys coor-care ovrsght 4,367 2,125 $307K
D8670 840 840 $272K
G9012 Other specified case mgmt 2,990 1,589 $227K
99460 5,385 4,678 $171K
99203 1,495 1,491 $144K
99392 17,051 13,776 $130K
99393 13,971 10,780 $123K
99212 56,780 43,783 $100K
59409 275 275 $100K
99401 9,995 8,502 $82K
99391 10,207 8,887 $81K
99394 7,405 5,500 $68K
99204 2,044 1,702 $66K
96110 7,439 6,376 $58K
59425 2,146 1,417 $55K
99462 2,340 1,842 $49K
99238 3,160 2,462 $49K
A4267 Male condom 6,442 6,254 $46K
90686 30,089 24,250 $34K
0011A 465 458 $30K
90670 11,595 10,208 $29K
90834 3,747 1,534 $28K
0012A 420 417 $27K
92551 29,351 22,695 $26K
G0467 Fqhc visit, estab pt 2,262 2,003 $22K
0072A 364 269 $20K
0071A 327 238 $18K
0064A 326 239 $17K
0001A 255 254 $16K
90723 7,641 6,731 $16K
0004A 252 177 $14K
0002A 222 219 $14K
J3490 Drugs unclassified injection 670 563 $12K
90647 5,913 5,045 $12K
76815 651 436 $11K
90633 4,917 4,393 $10K
90681 2,683 2,411 $9K
90832 4,653 3,147 $8K
H2000 Comp multidisipln evaluation 3,104 2,363 $7K
90471 4,467 4,148 $6K
59025 669 449 $6K
92004 5,005 3,252 $6K
A4268 Female condom 392 383 $5K
H1001 Antepartum management 23,756 19,198 $5K
81002 14,343 11,229 $5K
90716 1,417 1,347 $5K
99221 185 175 $5K
87426 693 483 $5K
90651 3,639 3,223 $5K
H1003 Prenatal at risk education 8,091 7,071 $5K
90472 1,071 1,008 $5K
90707 1,302 1,246 $4K
G2025 Dis site tele svcs rhc/fqhc 702 616 $4K
90648 2,316 2,292 $4K
97803 5,139 4,819 $3K
90700 1,096 1,026 $3K
90734 1,881 1,745 $3K
90460 18,084 14,588 $3K
S5199 Personal care item nos each 6,692 6,478 $3K
92552 271 271 $3K
99211 11,721 11,458 $3K
82948 15,025 11,905 $3K
0053A 71 40 $3K
S9445 Pt education noc individ 9,299 6,969 $2K
92081 2,233 2,231 $2K
90715 1,717 1,623 $2K
99000 1,404 1,345 $2K
90837 358 252 $2K
0111A 47 38 $2K
99201 1,435 992 $2K
0054A 44 39 $2K
90710 1,121 1,058 $2K
85018 5,520 5,314 $2K
99232 55 52 $2K
90696 1,118 1,052 $2K
0081A 25 24 $2K
81025 5,518 5,355 $2K
D0470 19 19 $1K
99173 24,110 18,780 $1K
92015 10,976 7,346 $1K
99381 503 419 $1K
0082A 17 17 $1K
96151 997 991 $1K
0074A 18 16 $1K
99395 309 287 $1K
H1002 Carecoordination prenatal 1,258 1,234 $672.70
99215 Prolong outpt/office vis 1,082 1,031 $642.72
92014 2,186 1,351 $623.66
D0140 17 17 $595.00
90620 1,074 952 $594.00
S4993 Contraceptive pills for bc 86 82 $588.20
99222 12 12 $584.87
90685 250 249 $438.00
D0330 13 13 $390.00
90847 82 28 $357.70
90619 764 636 $324.00
90461 6,975 5,909 $250.48
90688 206 201 $234.99
90662 29 29 $220.00
90744 25 24 $198.00
87804 1,018 694 $193.98
90621 134 132 $180.00
88720 1,591 1,268 $171.74
D0120 337 322 $140.00
92227 562 498 $132.10
H1000 Prenatal care atrisk assessm 211 205 $125.05
99490 Ccm add 20min 22 21 $109.86
17110 13 13 $99.78
96127 6,420 5,459 $90.84
86580 390 388 $89.99
93000 98 98 $85.23
0503F 381 372 $66.00
D0230 412 66 $63.90
D0274 19 12 $61.20
0501F 812 790 $60.00
86403 445 289 $55.32
99383 52 52 $54.28
D0220 67 38 $45.00
0500F 469 462 $40.00
99202 14 14 $33.96
85013 631 408 $30.15
S9452 Nutrition class 266 266 $24.99
92012 297 219 $22.59
90750 721 575 $20.00
96152 126 126 $16.34
90689 109 84 $15.00
90677 514 436 $9.00
82962 1,537 1,439 $7.96
87880 800 538 $6.99
94760 26 25 $5.53
0502F 17,192 13,946 $0.00
3078F 6,571 6,221 $0.00
D9430 22 12 $0.00
3725F 4,985 4,376 $0.00
1160F 5,867 5,227 $0.00
1159F 8,504 7,216 $0.00
2022F 94 68 $0.00
94060 54 28 $0.00
Z0316 24 24 $0.00
90661 815 813 $0.00
87400 451 276 $0.00
96158 231 228 $0.00
T1017 Targeted case management 56 56 $0.00
3077F 57 57 $0.00
90687 156 156 $0.00
90746 221 207 $0.00
H0046 Mental health service, nos 336 118 $0.00
82274 37 37 $0.00
83655 39 39 $0.00
87210 28 28 $0.00
2026F 25 21 $0.00
G9920 Scrning perf and negative 65 65 $0.00
96159 27 27 $0.00
D1120 12 12 $0.00
G9919 Scrn nd pos nd prov of rec 522 520 $0.00
99396 14 14 $0.00
96156 3,033 2,772 $0.00
S9446 Pt education noc group 2,907 2,049 $0.00
3008F 12,286 11,593 $0.00
3074F 6,914 6,576 $0.00
1036F 4,843 4,323 $0.00
90674 420 420 $0.00
Z1034 149 118 $0.00
3075F 66 61 $0.00
2023F 1,191 881 $0.00
3079F 386 383 $0.00
H0002 Alcohol and/or drug screenin 127 116 $0.00
90656 606 606 $0.00
92250 597 482 $0.00
D1330 12 12 $0.00
90739 210 192 $0.00
90694 45 39 $0.00
99384 57 37 $0.00
D1206 30 25 $0.00
59430 551 522 $0.00
83036 58 39 $0.00
36415 143 138 $0.00
97802 576 553 $0.00
Z6410 665 488 $0.00
90480 21 14 $0.00
G0008 Admin influenza virus vac 28 28 $0.00
99172 136 136 $0.00
J7613 Albuterol non-comp unit 12 12 $0.00
99403 29 29 $0.00
G0439 Ppps, subseq visit 75 74 $0.00
92567 36 26 $0.00
Q0111 Wet mounts/ w preparations 46 45 $0.00
96161 81 76 $0.00
99441 68 28 $0.00
85032 223 223 $0.00
90657 103 103 $0.00
J7611 Albuterol non-comp con 70 56 $0.00
92002 18 12 $0.00
96372 13 13 $0.00