Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION

MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION

NPI: 1356899777 · LOS ANGELES, CA 90059 · Internal Medicine Physician · NPI assigned 09/14/2016

$7.08M
Total Medicaid Paid
390,138
Total Claims
355,206
Beneficiaries
146
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTOUT, JEFFREY (COO)
NPI Enumeration Date09/14/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,333 $188K
2019 42,797 $675K
2020 43,379 $673K
2021 64,876 $1.21M
2022 64,488 $1.31M
2023 90,439 $1.84M
2024 70,826 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 83,319 72,989 $975K
70450 Computed tomography, head or brain; without contrast material 26,325 25,476 $743K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,981 17,087 $598K
71045 Radiologic examination, chest; single view 90,253 84,998 $580K
74177 Computed tomography, abdomen and pelvis; with contrast material 7,195 6,937 $571K
74160 8,374 8,189 $371K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,053 4,995 $289K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,971 3,882 $268K
99215 Prolong outpt/office vis 4,310 4,048 $231K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,715 9,060 $220K
99232 Subsequent hospital care, per day, moderate complexity 5,200 2,120 $186K
99233 Prolong inpt eval add15 m 4,146 1,973 $185K
71275 Computed tomographic angiography, chest, with contrast material 2,383 2,343 $180K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,254 2,238 $130K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,409 2,394 $116K
71046 Radiologic examination, chest; 2 views 13,009 12,806 $102K
74150 2,178 2,105 $89K
0002A 2,322 2,314 $85K
0001A 2,351 2,345 $81K
93970 1,601 1,534 $80K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,073 1,137 $80K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 557 311 $55K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,916 2,842 $53K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,977 1,954 $53K
93000 1,672 1,544 $45K
1111F 10,435 9,859 $35K
70551 Magnetic resonance imaging, brain; without contrast material 644 602 $34K
99243 585 548 $34K
H0043 Supported housing, per diem 2,079 1,383 $33K
93971 1,508 1,431 $33K
76830 Ultrasound, transvaginal 1,323 1,293 $32K
99244 Office or other outpatient consultation, moderate to high complexity 427 421 $29K
72125 Computed tomography, cervical spine; without contrast material 712 708 $26K
99205 Prolong outpt/office vis 399 399 $22K
99254 234 215 $20K
76801 653 606 $17K
73630 2,236 2,026 $16K
99442 1,593 1,561 $16K
76770 571 553 $15K
99242 332 263 $14K
0031A 370 369 $13K
G9008 Coordinated care fee, physician coordinated care oversight services 5,184 2,705 $12K
72100 1,235 1,223 $12K
0004A 307 307 $12K
74018 1,617 1,252 $12K
G9012 Other specified case management service not elsewhere classified 4,562 2,606 $11K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 348 321 $11K
73030 1,246 1,188 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 590 568 $10K
90837 Psychotherapy, 53 minutes with patient 237 186 $10K
99253 207 199 $10K
90834 Psychotherapy, 45 minutes with patient 290 230 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 339 339 $9K
99255 111 108 $9K
73610 1,148 1,108 $9K
99239 Hospital discharge day management, more than 30 minutes 168 168 $8K
73130 1,086 1,022 $8K
71250 219 211 $8K
94729 279 276 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,517 1,487 $7K
97802 197 189 $7K
94060 306 304 $7K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 133 133 $7K
73562 980 925 $7K
99222 Initial hospital care, per day, moderate complexity 111 110 $7K
70486 211 209 $7K
99221 253 243 $6K
94726 289 286 $6K
90688 372 372 $5K
99443 391 384 $5K
0003A 119 119 $5K
99418 Prolong nursin fac eval 15m 127 116 $4K
0054A 123 120 $4K
73502 357 346 $3K
70496 39 39 $3K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 216 216 $3K
90791 Psychiatric diagnostic evaluation 39 39 $3K
83036 Hemoglobin; glycosylated (A1C) 856 852 $3K
99238 Hospital discharge day management, 30 minutes or less 95 94 $3K
97597 85 65 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 48 48 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 117 112 $2K
99245 33 31 $2K
73590 301 291 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 53 40 $2K
0053A 50 50 $2K
82962 1,400 1,358 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 69 69 $2K
0052A 48 48 $2K
36415 Collection of venous blood by venipuncture 5,887 5,798 $2K
73564 172 168 $2K
73110 238 227 $2K
93925 12 12 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 20 13 $1K
0051A 31 31 $1K
0071A 30 30 $1K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15 12 $1K
90656 71 70 $1K
90662 14 14 $1K
93880 25 25 $1K
74022 70 69 $1K
70498 12 12 $947.20
92250 55 55 $871.17
3008F 3,150 3,109 $855.78
76870 27 27 $821.30
11719 419 417 $547.35
73080 79 76 $492.46
99460 12 12 $371.96
99201 14 14 $320.79
73140 57 54 $261.22
99462 14 13 $256.59
99441 59 59 $225.25
73090 35 34 $217.13
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $187.96
11721 12 12 $167.55
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $162.88
2026F 43 43 $127.12
90472 Immunization administration, each additional vaccine (list separately) 81 66 $102.78
98968 145 138 $65.48
4040F 41 41 $57.20
3078F 3,110 3,066 $40.91
91305 40 38 $40.00
1159F 3,631 3,507 $37.50
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $37.50
90670 14 14 $29.40
81003 14 13 $6.66
3074F 2,474 2,444 $0.00
1126F 2,954 2,892 $0.00
3079F 337 335 $0.00
1125F 451 442 $0.00
1036F 3,522 3,443 $0.00
3014F 484 458 $0.00
1170F 441 440 $0.00
3075F 222 222 $0.00
4010F 31 31 $0.00
3044F 83 78 $0.00
99607 24 24 $0.00
3080F 63 63 $0.00
G8432 Depression screening not documented, reason not given 13 13 $0.00
1160F 2,540 2,476 $0.00
1158F 1,324 1,251 $0.00
3077F 239 237 $0.00
98960 358 330 $0.00
2022F 42 42 $0.00
3016F 25 25 $0.00
91300 71 63 $0.00