Medicaid Provider Spending

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

GEM PHYSICIANS MEDICAL GROUP INC

NPI: 1396985404 · BAKERSFIELD, CA 93301 · Hospitalist Physician · NPI assigned 03/02/2009

$359K
Total Medicaid Paid
13,940
Total Claims
12,224
Beneficiaries
43
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialPHILLIPS, VINCENT (PRESIDENT)
NPI Enumeration Date03/02/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,624 $286K
2019 2,316 $73K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,794 3,448 $120K
99232 Subsequent hospital care, per day, moderate complexity 1,680 808 $40K
99223 Prolong inpt eval add15 m 640 619 $35K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,009 928 $33K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 497 489 $23K
99222 Initial hospital care, per day, moderate complexity 223 222 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 331 325 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 173 170 $11K
99239 Hospital discharge day management, more than 30 minutes 232 228 $8K
99238 Hospital discharge day management, 30 minutes or less 283 277 $6K
92551 414 402 $6K
99306 Prolong nursin fac eval 15m 191 182 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 579 451 $5K
52000 46 41 $4K
90686 303 296 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 19 18 $2K
99308 Subsequent nursing facility care, per day, straightforward 842 760 $2K
90700 160 155 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 36 35 $2K
90707 133 130 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 63 61 $1K
81002 838 781 $1K
90716 126 124 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 37 $1K
99173 419 406 $1K
90633 101 101 $1K
99253 17 17 $797.28
90688 60 60 $675.00
90670 54 53 $607.50
90713 49 48 $551.25
85018 342 332 $551.12
99233 Prolong inpt eval add15 m 32 17 $370.98
90648 28 27 $315.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 38 37 $265.74
90685 21 21 $236.25
90715 20 18 $202.50
90651 19 17 $191.25
90744 12 12 $135.00
90734 14 12 $135.00
96127 17 15 $86.55
99305 14 13 $46.90
82962 18 18 $3.21
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $0.00