Medicaid Provider Spending

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

STIRBL, JAMES

NPI: 1326131640 · COSTA MESA, CA 92627 · Clinical Pathology/Laboratory Medicine Physician · NPI assigned 09/30/2006

$997K
Total Medicaid Paid
80,469
Total Claims
65,654
Beneficiaries
49
Codes Billed
2018-01
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,193 $137K
2019 16,372 $196K
2020 14,597 $138K
2021 18,767 $230K
2022 19,584 $266K
2023 1,956 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,625 8,311 $356K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,276 3,368 $189K
96156 2,091 1,990 $171K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 600 508 $48K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 426 400 $48K
99215 Prolong outpt/office vis 422 344 $28K
59425 273 229 $21K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,452 1,407 $15K
96150 619 616 $13K
H1001 Prenatal care, at-risk enhanced service; antepartum management 159 139 $12K
92551 843 833 $12K
G9920 Screening performed and negative 253 250 $9K
99385 61 53 $8K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 217 216 $7K
96151 262 260 $6K
99406 2,172 2,111 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 154 107 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 129 128 $5K
99401 596 496 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 147 106 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 57 51 $4K
96127 2,421 2,343 $4K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,439 1,401 $4K
99403 453 381 $4K
90656 178 175 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 30 $2K
85018 1,328 1,294 $2K
81003 1,213 1,102 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 43 $922.35
H1003 Prenatal care, at-risk enhanced service; education 94 75 $798.95
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 159 152 $688.58
99000 147 137 $528.17
81000 182 181 $445.41
81002 233 225 $336.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42 41 $201.24
82962 64 43 $107.17
81025 12 12 $28.00
H0049 Alcohol and/or drug screening 15 14 $24.00
99173 655 646 $4.03
3078F 9,246 7,544 $0.00
3077F 2,060 1,740 $0.00
99072 244 215 $0.00
3079F 4,084 3,523 $0.00
3074F 10,507 8,441 $0.00
3080F 1,027 879 $0.00
3008F 14,796 11,313 $0.00
3075F 1,924 1,757 $0.00
99386 12 12 $0.00
3044F 12 12 $0.00