Medicaid Provider Spending

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

HOLLENBERG AGRAWAL KNOLL WARREN HONG FUNG TILLIS KAUSHAL MDS

NPI: 1366447781 · POMONA, CA 91767 · 208000000X

$784K
Total Medicaid Paid
35,038
Total Claims
31,367
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,761 $152K
2019 4,624 $92K
2020 1,663 $41K
2021 5,051 $163K
2022 5,063 $167K
2023 4,068 $137K
2024 808 $31K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 4,000 3,980 $303K
99213 5,627 5,009 $124K
G9920 Scrning perf and negative 2,409 2,400 $73K
90460 6,448 3,771 $53K
99392 1,431 1,398 $47K
99391 752 727 $45K
99393 1,012 998 $37K
99214 1,238 1,124 $32K
92551 2,421 2,391 $24K
99394 374 369 $16K
99173 1,989 1,948 $6K
90670 595 592 $4K
90698 561 557 $4K
90697 25 25 $4K
90651 141 141 $3K
90686 1,174 1,168 $3K
99381 18 12 $1K
96110 30 24 $977.93
90688 347 346 $902.20
90681 95 94 $817.75
G8510 Scr dep neg, no plan reqd 132 132 $793.28
90685 109 107 $764.25
90744 107 106 $594.00
90471 1,138 1,130 $383.93
99050 36 36 $378.00
90671 28 28 $252.00
90680 32 31 $207.00
99000 263 254 $143.64
G0444 Depression screen annual 131 131 $138.15
88720 16 13 $132.76
90633 42 42 $90.00
90472 376 349 $56.56
90734 27 27 $36.00
90696 14 14 $18.00
90710 13 13 $18.00
99174 1,887 1,880 $0.00