Medicaid Provider Spending

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

CHARLES ROBERT PETTIT MD A MEDICAL CORPORATION

NPI: 1316268386 · SANTA ROSA, CA 95403 · Otolaryngology/Facial Plastic Surgery Physician · NPI assigned 06/14/2010

$14K
Total Medicaid Paid
174
Total Claims
160
Beneficiaries
3
Codes Billed
2022-08
First Month
2024-01
Last Month

Provider Details

Authorized OfficialPETTIT, CHARLES (PRESIDENT)
NPI Enumeration Date06/14/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 15 $981.54
2023 147 $11K
2024 12 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 52 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 43 36 $3K
69210 78 72 $2K