Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CHICO › MANGROVE MEDICAL GROUP

MANGROVE MEDICAL GROUP

NPI: 1326038381 · CHICO, CA 95926 · Dermatology Physician · NPI assigned 10/21/2005

Deactivated NPI · This NPI was deactivated on 12/16/2021. Reactivated 01/04/2022.
$7K
Total Medicaid Paid
8,689
Total Claims
7,783
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMULLINS, ELIZABETH (ADMINISTRATOR)
NPI Enumeration Date10/21/2005

Related Entities

Other providers sharing the same authorized official: MULLINS, ELIZABETH

ProviderCityStateTotal Paid
MEDICAL FOUNDATION OF CENTRAL MS INC. JACKSON MS $4K
MEDICAL FOUNDATION OF CENTRAL MS, INC BRANDON MS $2K
MEDICAL FOUNDATION OF CENTRAL MS, INC JACKSON MS $1K
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC JACKSON MS $1K
MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC CLINTON MS $588.26
BAPTIST HEART JACKSON MS $424.67
MEDICAL FOUNDATION OF CENTRAL MS BRANDON MS $55.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,042 $2K
2019 1,917 $1K
2020 1,568 $746.17
2021 1,542 $710.22
2022 652 $577.71
2023 361 $188.34
2024 607 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,738 6,861 $6K
99490 Ccm add 20min 549 549 $599.68
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46 44 $151.38
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 91 68 $44.39
83036 Hemoglobin; glycosylated (A1C) 12 12 $8.54
80305 12 12 $1.62
90662 55 55 $0.18
80053 Comprehensive metabolic panel 16 15 $0.00
G0008 Administration of influenza virus vaccine 96 95 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 14 12 $0.00
99454 24 24 $0.00
99453 24 24 $0.00
90750 12 12 $0.00