Medicaid Provider Spending

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

COUNTY OF LOS ANGELES AUDITOR CONTROLLER

NPI: 1316969934 · SYLMAR, CA 91342 · General Acute Care Hospital · NPI assigned 07/24/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code T1015 with only 2 total codes billed. Highly concentrated billing profile.

$66.61M
Total Medicaid Paid
75,014
Total Claims
59,166
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRHEE, CAROLYN (CHIEF EXECUTIVE OFFICER)
Parent OrganizationCOUNTY OF LOS ANGELES AUDITOR CONTROLLER
NPI Enumeration Date07/24/2006

Related Entities

Other providers sharing the same authorized official: RHEE, CAROLYN

ProviderCityStateTotal Paid
COUNTY OF LOS ANGELES AUDITOR CONTROLLER SYLMAR CA $57.92M
COUNTY OF LOS ANGELES AUDITOR CONTROLLER SYLMAR CA $1.93M
COUNTY OF LOS ANGELES SYLMAR CA $605K
COUNTY OF LOS ANGELES GLENDALE CA $161K
COUNTY OF LOS ANGELES AUDITOR CONTROLLER SYLMAR CA $94K
COUNTY OF LOS ANGELES VAN NUYS CA $51K
COUNTY OF LOS ANGELES AUDITOR CONTROLLER SYLMAR CA $6K
COUNTY OF LOS ANGELES SYLMAR CA $452.68
COUNTY OF LOS ANGELES AUDITOR CONTROLLER SAN FERNANDO CA $305.89

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,363 $19.01M
2019 18,819 $15.67M
2020 8,961 $7.86M
2021 8,342 $8.01M
2022 4,529 $5.05M
2023 5,746 $6.95M
2024 3,254 $4.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 72,611 57,321 $66.16M
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 2,403 1,845 $449K