Medicaid Provider Spending

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

TLC PEDIATRICS MEDICAL GROUP

NPI: 1356303168 · SAN JUAN CAPISTRANO, CA 92675 · Specialist · NPI assigned 04/05/2006

$423K
Total Medicaid Paid
13,750
Total Claims
13,103
Beneficiaries
26
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialDAGOSTINO, JOSIANE (MEDICAL MANAGER)
NPI Enumeration Date04/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,850 $75K
2019 2,850 $73K
2020 2,953 $99K
2021 3,224 $112K
2022 1,873 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 1,465 1,450 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,643 3,229 $95K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,610 1,464 $65K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 579 576 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 455 454 $26K
96150 640 632 $15K
92551 1,119 1,114 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 298 298 $14K
90686 724 724 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 213 213 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $3K
96127 655 646 $3K
81002 1,292 1,256 $3K
96151 72 72 $2K
90734 105 105 $945.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 13 $920.66
85018 337 332 $730.42
81000 227 224 $617.61
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $581.75
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 76 75 $531.24
90670 51 50 $459.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 42 42 $449.40
90651 38 38 $342.00
90685 32 32 $288.00
90633 13 13 $117.00
99000 13 13 $47.19