Medicaid Provider Spending

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

SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL

NPI: 1336389600 · KING CITY, CA 93930 · Rural Health Clinic/Center · NPI assigned 02/26/2009

$14K
Total Medicaid Paid
241
Total Claims
235
Beneficiaries
10
Codes Billed
2024-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSALAMACHA, RENA (CHIEF EXECUTIVE OFFICER)
Parent OrganizationSOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
NPI Enumeration Date02/26/2009

Related Entities

Other providers sharing the same authorized official: SALAMACHA, RENA

ProviderCityStateTotal Paid
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL KING CITY CA $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 241 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49 46 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20 20 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19 19 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16 16 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 12 $1K
G9920 Screening performed and negative 30 30 $1K
99188 15 15 $405.00
92551 25 25 $289.57
90686 16 16 $216.00
85018 36 36 $75.34