Medicaid Provider Spending

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

DE GUZMAN, ROSALIE

NPI: 1386675452 · CORONA, CA 92882 · Pediatrics Physician · NPI assigned 07/06/2006

$370K
Total Medicaid Paid
66,759
Total Claims
65,142
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,096 $58K
2019 5,357 $65K
2020 4,379 $32K
2021 5,937 $31K
2022 7,393 $46K
2023 13,528 $72K
2024 14,069 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,977 13,838 $94K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,673 1,638 $69K
99381 607 581 $59K
92551 5,761 5,724 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,549 2,524 $14K
G9920 Screening performed and negative 5,471 5,458 $14K
90670 1,680 1,667 $11K
90700 1,829 1,815 $8K
90648 1,747 1,729 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,077 2,063 $6K
90713 1,205 1,195 $5K
90686 2,510 2,493 $4K
90681 496 494 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,629 1,613 $3K
90677 335 335 $3K
90651 624 613 $3K
90744 909 904 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 13 $2K
90633 1,022 1,019 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92 87 $1K
90716 808 806 $872.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 591 588 $784.65
87430 92 91 $745.20
90707 811 809 $647.37
90680 73 72 $630.00
90685 44 34 $394.73
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 185 185 $259.80
90698 26 26 $234.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 75 $202.08
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 682 646 $169.29
90688 15 15 $135.00
90619 446 446 $80.64
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,115 1,113 $72.57
90620 368 368 $62.91
90715 59 56 $62.82
96156 2,430 2,417 $39.90
90696 130 130 $35.91
85018 972 961 $28.78
81000 845 835 $27.84
90734 33 33 $27.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 140 140 $24.75
99173 1,294 1,284 $8.66
86580 63 62 $7.32
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,284 1,283 $3.98
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 39 37 $1.56
84443 Thyroid stimulating hormone (TSH) 697 686 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 797 788 $0.00
83036 Hemoglobin; glycosylated (A1C) 53 53 $0.00
36415 Collection of venous blood by venipuncture 923 909 $0.00
80053 Comprehensive metabolic panel 688 680 $0.00
3351F 79 79 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 91 90 $0.00
3352F 59 59 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 37 26 $0.00
87086 Culture, bacterial; quantitative colony count, urine 112 105 $0.00
1220F 150 150 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 28 28 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 515 507 $0.00
90672 170 170 $0.00
83655 68 68 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 29 $0.00
81003 619 613 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 225 221 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 141 141 $0.00
84439 683 673 $0.00
90621 35 35 $0.00
80061 Lipid panel 694 687 $0.00
96160 17 17 $0.00
83525 13 13 $0.00