Medicaid Provider Spending

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

NORTH EAST MEDICAL SERVICES

NPI: 1326279852 · SAN FRANCISCO, CA 94134 · Case Manager/Care Coordinator · NPI assigned 07/31/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAN, EDDIE controls 20+ related entities in our dataset. Read more

$59.12M
Total Medicaid Paid
864,507
Total Claims
772,058
Beneficiaries
133
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAN, EDDIE (PRESIDENT & CEO)
NPI Enumeration Date07/31/2009

Related Entities

Other providers sharing the same authorized official: CHAN, EDDIE

ProviderCityStateTotal Paid
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $142.96M
NORTH EAST MEDICAL SERVICES DALY CITY CA $47.54M
NORTH EAST MEDICAL SERVICES SAN JOSE CA $38.88M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $16.05M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $10.35M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $8.89M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $8.50M
NORTH EAST MEDICAL SERVICES SAN JOSE CA $2.39M
NORTH EAST MEDICAL SERVICES DALY CITY CA $546K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $233K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $131K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $64K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $40K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $40K
NORTH EAST MEDICAL SERVICES DALY CITY CA $35K
NORTH EAST MEDICAL SERVICES DALY CITY CA $15K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $7K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $2K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $2K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55,900 $8.05M
2019 73,566 $7.19M
2020 118,144 $7.91M
2021 130,080 $8.91M
2022 118,923 $7.74M
2023 138,969 $10.02M
2024 228,925 $9.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 320,615 278,541 $46.89M
00003 Internal/system code - not a standard HCPCS code 49,927 42,747 $9.84M
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 13,730 11,695 $1.16M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,194 8,701 $183K
90834 Psychotherapy, 45 minutes with patient 2,707 1,083 $172K
90832 Psychotherapy, 30 minutes with patient 2,552 1,013 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 97,049 87,347 $116K
0001A 1,196 1,176 $71K
90791 Psychiatric diagnostic evaluation 535 324 $63K
0002A 905 904 $61K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5,765 5,464 $56K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 75,572 67,022 $50K
0064A 530 530 $35K
0011A 522 517 $32K
0054A 483 472 $32K
0012A 438 438 $29K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,558 12,827 $29K
0031A 336 336 $23K
0004A 320 320 $21K
0124A 839 834 $19K
0134A 410 400 $9K
G9920 Screening performed and negative 4,715 4,484 $9K
0071A 136 135 $9K
0072A 132 131 $9K
0074A 129 129 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,960 4,480 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29,892 28,944 $5K
99215 Prolong outpt/office vis 172 153 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,904 5,816 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,975 3,906 $3K
90480 815 813 $3K
V2020 Frames, purchases 9,918 9,834 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,814 4,728 $3K
90688 5,968 5,861 $3K
90750 926 916 $3K
92551 12,542 12,287 $2K
91320 256 253 $2K
90472 Immunization administration, each additional vaccine (list separately) 7,599 7,422 $2K
0083A 31 31 $2K
0094A 33 33 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,748 2,671 $2K
0154A 24 24 $2K
90651 1,644 1,605 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 9,586 9,500 $2K
0082A 22 22 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 406 378 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,457 1,425 $908.60
99188 3,492 3,448 $680.50
91322 129 128 $568.76
H0049 Alcohol and/or drug screening 2,186 2,163 $531.34
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 824 816 $453.56
90715 488 475 $437.83
99173 10,973 10,783 $434.92
98940 3,289 2,530 $401.88
90686 7,898 7,726 $333.01
90662 941 941 $307.97
90620 703 686 $294.16
90658 1,619 1,616 $288.28
D0120 Periodic oral evaluation - established patient 24 12 $234.00
D1310 44 26 $210.00
83036 Hemoglobin; glycosylated (A1C) 564 547 $195.77
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 53 48 $154.00
82962 698 665 $118.07
99238 Hospital discharge day management, 30 minutes or less 13 12 $87.28
90714 28 25 $87.27
92341 308 306 $78.24
93000 85 82 $72.11
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 96 73 $22.90
92015 Determination of refractive state 526 524 $19.70
86580 397 385 $0.00
3008F 18,943 17,809 $0.00
3074F 14,797 14,029 $0.00
3075F 4,735 4,619 $0.00
3079F 3,768 3,656 $0.00
90619 354 352 $0.00
90677 141 139 $0.00
3351F 1,572 1,565 $0.00
1126F 677 671 $0.00
90656 1,308 1,308 $0.00
1125F 217 217 $0.00
90680 672 660 $0.00
G0008 Administration of influenza virus vaccine 1,719 1,718 $0.00
90647 619 599 $0.00
90723 482 467 $0.00
9213 46 44 $0.00
90744 622 616 $0.00
93040 89 87 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 384 296 $0.00
D0999 Unspecified diagnostic procedure, by report 951 935 $0.00
Z6406 182 160 $0.00
97814 167 111 $0.00
90732 41 41 $0.00
90696 122 119 $0.00
90716 24 24 $0.00
90697 209 209 $0.00
D9995 686 671 $0.00
90674 174 169 $0.00
1000F 34 33 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 223 223 $0.00
D9999 Unspecified adjunctive procedure, by report 265 265 $0.00
3080F 15 15 $0.00
90739 30 26 $0.00
90474 44 44 $0.00
D1330 43 43 $0.00
2023F 45 45 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 29 27 $0.00
G0009 Administration of pneumococcal vaccine 14 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 $0.00
Z6410 13 12 $0.00
90670 1,425 1,388 $0.00
90633 580 572 $0.00
3078F 17,125 16,199 $0.00
90734 469 452 $0.00
97810 11,507 7,442 $0.00
97811 11,506 7,442 $0.00
3077F 1,172 1,148 $0.00
1159F 14,276 12,851 $0.00
V2025 Deluxe frame 76 76 $0.00
D9430 918 909 $0.00
90671 78 78 $0.00
91313 221 211 $0.00
91312 402 397 $0.00
1160F 8,137 7,451 $0.00
Z6414 75 57 $0.00
90473 264 263 $0.00
90710 120 117 $0.00
90623 13 13 $0.00
90707 15 14 $0.00
83037 52 52 $0.00
97813 167 111 $0.00
90700 27 27 $0.00
Z6400 33 33 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $0.00