DEPARTMENT OF HEALTH SERVICES
NPI: 1376696914
· SANTA ROSA, CA 95407
· 261QP2000X
$272K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,601 |
$272K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X3908 |
|
3,456 |
1,662 |
$73K |
| X4110 |
|
2,774 |
1,538 |
$58K |
| X3928 |
|
1,845 |
1,022 |
$39K |
| X4120 |
|
1,190 |
738 |
$25K |
| X3910 |
|
3,159 |
1,541 |
$25K |
| X4112 |
|
2,434 |
1,377 |
$18K |
| X4100 |
|
291 |
254 |
$10K |
| X3920 |
|
220 |
191 |
$8K |
| X4104 |
|
222 |
220 |
$5K |
| X3926 |
|
167 |
167 |
$4K |
| X3922 |
|
154 |
133 |
$3K |
| X4102 |
|
143 |
137 |
$3K |
| X3932 |
|
301 |
260 |
$2K |
| X4114 |
|
245 |
219 |
$2K |