Medicaid Provider Spending

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

PACIFIC PEDIATRIC CARDIOLOGY MEDICAL GROUP INC

NPI: 1396720371 · PASADENA, CA 91105 · Pediatric Cardiology Physician · NPI assigned 12/13/2005

$15.14M
Total Medicaid Paid
252,230
Total Claims
241,971
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURKE, LENNIS (PRESIDENT)
NPI Enumeration Date12/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,444 $2.00M
2019 39,602 $2.38M
2020 33,202 $2.06M
2021 36,053 $2.09M
2022 36,034 $2.00M
2023 40,823 $2.50M
2024 31,072 $2.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 49,323 47,731 $5.04M
93320 50,819 49,192 $2.61M
93325 50,956 49,299 $2.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,503 18,439 $1.82M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17,863 17,745 $1.65M
93000 43,380 42,878 $917K
99233 Prolong inpt eval add15 m 3,831 1,170 $254K
99215 Prolong outpt/office vis 1,708 1,675 $186K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,222 8,695 $83K
99205 Prolong outpt/office vis 710 710 $70K
Z4306 1,183 1,171 $59K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 582 543 $40K
99232 Subsequent hospital care, per day, moderate complexity 556 195 $31K
76825 504 502 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 406 397 $26K
93531 12 12 $18K
76827 518 516 $18K
99244 Office or other outpatient consultation, moderate to high complexity 172 172 $8K
94760 928 875 $7K
93224 29 29 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 25 25 $124.15