Medicaid Provider Spending

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

ULTIMATE HEALTH MEDICAL SERVICES LLC., A CALIFORNIA LIABILITY COMPANY

NPI: 1396260063 · LONG BEACH, CA 90806 · Clinical & Laboratory Immunology (Internal Medicine) Physician · NPI assigned 08/03/2017

$757.80
Total Medicaid Paid
50
Total Claims
49
Beneficiary Records
3
Codes Billed
2023-04
First Month
2023-11
Last Month

Provider Details

Authorized OfficialROSAS, BERTHA (OFFICE MANAGER)
NPI Enumeration Date08/03/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 50 $757.80

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $394.80
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 25 $288.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $75.00