Medicaid Provider Spending

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

BEVERLY MEDICAL GROUP

NPI: 1326622143 · LOS ANGELES, CA 90057 · Clinic/Center · NPI assigned 05/07/2021

$117K
Total Medicaid Paid
6,230
Total Claims
5,992
Beneficiaries
21
Codes Billed
2021-12
First Month
2023-10
Last Month

Provider Details

Authorized OfficialDZEBOLO, NICHOLAS (CEO)
NPI Enumeration Date05/07/2021

Related Entities

Other providers sharing the same authorized official: DZEBOLO, NICHOLAS

ProviderCityStateTotal Paid
SPIRIT MEDICAL GROUP GLENDALE CA $119K
CENTRAL MEDICAL GROUP GLENDALE CA $538.17

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 16 $974.05
2022 2,167 $56K
2023 4,047 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,274 1,238 $32K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 447 446 $27K
93925 438 437 $9K
93978 383 382 $7K
93970 438 437 $6K
95924 175 175 $6K
93880 430 429 $6K
95923 187 187 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 88 88 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 387 386 $3K
76770 387 386 $3K
93923 356 182 $3K
76881 242 226 $2K
76536 247 246 $2K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 146 146 $1K
99442 31 31 $800.00
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 125 124 $790.71
93000 228 225 $669.66
93040 194 194 $339.09
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 15 $98.75
76641 12 12 $0.00