Medicaid Provider Spending

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

MONTE VISTA PHYSICIANS A MEDICAL CORPORATION

NPI: 1326573437 · UPLAND, CA 91786 · Family Medicine Physician · NPI assigned 04/26/2017

$2K
Total Medicaid Paid
26,364
Total Claims
25,275
Beneficiaries
61
Codes Billed
2018-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialDE LA LLANA, JOSE (PRIMARY CARE PROVIDER)
NPI Enumeration Date04/26/2017

Related Entities

Other providers sharing the same authorized official: DE LA LLANA, JOSE

ProviderCityStateTotal Paid
JDCM CORPORATION ONTARIO CA $21K
BEAR VALLEY PRIMARY CARE INC VICTORVILLE CA $187.38

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,649 $1K
2019 4,873 $38.84
2020 5,013 $4.42
2021 9,699 $326.53
2022 3,130 $299.83

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 775 767 $919.68
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,831 3,590 $274.78
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 682 655 $154.28
90658 237 236 $140.00
90460 Immunization administration through 18 years of age via any route, first or only component 705 685 $110.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,765 1,626 $55.39
94760 1,151 1,117 $44.24
92551 372 372 $42.56
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 684 683 $29.42
G9920 Screening performed and negative 825 825 $28.71
90461 161 159 $15.00
85018 371 371 $3.74
81001 17 17 $2.74
99000 912 887 $0.00
3008F 3,662 3,429 $0.00
3079F 164 160 $0.00
H0049 Alcohol and/or drug screening 1,198 1,161 $0.00
99447 146 133 $0.00
3351F 212 210 $0.00
99406 16 14 $0.00
92506 12 12 $0.00
36415 Collection of venous blood by venipuncture 1,055 1,034 $0.00
3080F 15 15 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 566 557 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 209 209 $0.00
1034F 16 14 $0.00
96127 83 83 $0.00
96156 509 501 $0.00
3353F 12 12 $0.00
82962 27 25 $0.00
1036F 474 456 $0.00
1125F 27 27 $0.00
90686 256 254 $0.00
3074F 61 59 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 34 34 $0.00
3075F 15 15 $0.00
1111F 26 26 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 13 12 $0.00
81002 453 450 $0.00
99215 Prolong outpt/office vis 486 480 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 151 149 $0.00
99173 451 451 $0.00
99446 51 50 $0.00
1159F 932 820 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 679 653 $0.00
85014 12 12 $0.00
G0444 Annual depression screening, 5 to 15 minutes 426 423 $0.00
3078F 72 69 $0.00
3077F 205 196 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 53 53 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 71 71 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 43 43 $0.00
82947 70 66 $0.00
1160F 430 377 $0.00
99382 13 13 $0.00
81003 151 149 $0.00
G9919 Screening performed and positive and provision of recommendations 13 13 $0.00
99408 219 209 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 33 33 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $0.00
92552 41 40 $0.00