Medicaid Provider Spending

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

GRASS VALLEY EXTENDED CARE INC

NPI: 1356765218 · GRASS VALLEY, CA 95945 · 305R00000X

$11K
Total Medicaid Paid
4,004
Total Claims
3,474
Beneficiaries
24
Codes Billed
2019-06
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 28 $0.00
2021 81 $77.58
2022 403 $281.25
2023 1,752 $3K
2024 1,740 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 2,608 2,315 $6K
99308 302 154 $1K
99490 Ccm add 20min 97 97 $1K
99215 Prolong outpt/office vis 87 81 $529.91
99499 13 12 $444.67
99205 Prolong outpt/office vis 102 102 $393.96
99307 170 96 $300.07
99309 31 25 $263.87
90674 46 46 $133.15
99439 12 12 $119.16
93922 12 12 $104.42
99204 52 52 $104.06
93000 22 21 $104.02
99497 47 47 $69.59
99406 44 44 $31.23
99213 45 44 $24.00
G0442 Annual alcohol screen 15 min 50 50 $16.50
3725F 44 44 $0.00
1158F 40 40 $0.00
99396 21 21 $0.00
G0444 Depression screen annual 48 48 $0.00
90653 15 15 $0.00
90471 56 56 $0.00
1157F 40 40 $0.00