Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › FOUNTAIN VALLEY › MEMORIALCARE SELECT HEALTH PLAN

MEMORIALCARE SELECT HEALTH PLAN

NPI: 1407293814 · FOUNTAIN VALLEY, CA 92708 · 302R00000X

$1.54M
Total Medicaid Paid
162,385
Total Claims
143,779
Beneficiaries
267
Codes Billed
2018-01
First Month
2018-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162,385 $1.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 4,011 3,831 $130K
99204 1,154 1,128 $101K
59400 98 98 $95K
99392 2,570 2,552 $91K
99213 17,326 15,952 $83K
99285 1,043 988 $79K
99223 Prolong inpt eval add15 m 410 367 $76K
99284 1,459 1,430 $69K
99215 Prolong outpt/office vis 629 620 $61K
97530 1,551 719 $51K
99283 1,290 1,246 $44K
59425 1,205 825 $43K
99232 1,252 456 $40K
01967 69 69 $37K
99393 981 978 $36K
99203 781 768 $32K
92507 884 281 $31K
99391 994 972 $30K
99233 Prolong inpt eval add15 m 638 211 $25K
87491 2,955 2,888 $24K
J3490 Drugs unclassified injection 205 187 $24K
B4161 Ef ped hydrolyzed/amino acid 41 40 $23K
B4160 Ef ped caloric dense>/=0.7kc 178 168 $22K
99205 Prolong outpt/office vis 159 159 $17K
99291 125 87 $15K
92012 255 252 $15K
92586 326 317 $14K
99222 100 92 $14K
99211 285 260 $13K
88305 365 356 $12K
A4267 Male condom 142 139 $12K
76805 133 133 $12K
76813 105 105 $11K
93010 976 893 $10K
76811 58 58 $10K
85018 3,292 3,264 $9K
92557 93 92 $9K
99394 197 197 $9K
59025 324 100 $7K
E0570 Nebulizer with compression 120 120 $6K
71045 371 324 $6K
59409 12 12 $5K
97110 1,857 882 $5K
99212 924 877 $5K
76830 128 128 $5K
93306 56 55 $5K
71046 438 432 $5K
97803 131 130 $4K
76816 82 80 $4K
99239 148 138 $4K
59426 84 84 $4K
87661 215 215 $3K
96372 106 79 $3K
99202 45 45 $3K
74177 28 26 $2K
81025 948 900 $2K
85025 6,533 5,133 $2K
A0429 Bls-emergency 13 12 $2K
76815 214 134 $2K
99053 70 70 $2K
99460 44 43 $2K
92551 2,297 2,290 $2K
97162 18 18 $2K
97112 1,779 834 $1K
S9452 Nutrition class 64 64 $1K
88307 15 15 $1K
99238 94 92 $1K
99201 14 14 $1K
92134 40 39 $1K
90715 61 61 $1K
80053 7,033 5,937 $1K
99282 36 33 $1K
92225 106 106 $1K
76817 32 27 $978.68
86592 2,119 2,080 $931.57
90696 227 226 $912.20
A7005 Nondisposable nebulizer set 104 104 $892.89
99383 12 12 $837.12
86580 174 172 $830.00
90670 1,109 1,086 $753.00
88304 33 33 $615.60
97140 1,831 862 $551.34
82728 414 407 $538.95
81001 3,333 3,119 $538.88
80048 3,313 1,900 $522.63
76705 12 12 $496.00
90471 645 634 $474.45
H2000 Comp multidisipln evaluation 190 190 $457.95
90633 826 816 $396.00
70450 12 12 $379.77
99000 810 780 $341.13
90686 84 84 $309.52
A7015 Aerosol mask used w nebulize 117 117 $290.87
80061 3,324 3,302 $257.25
92060 1,242 1,237 $255.56
90700 338 336 $253.00
99356 192 122 $240.00
90707 758 754 $235.00
90651 13 13 $204.00
90716 750 746 $180.00
81002 1,560 1,470 $149.88
86901 1,101 890 $139.42
87624 313 311 $134.12
87591 2,946 2,880 $124.48
87806 52 52 $116.06
3078F 128 122 $114.10
90698 843 822 $108.33
87070 573 553 $103.75
77067 25 24 $96.43
87653 15 15 $91.56
82785 264 263 $88.08
88175 839 823 $81.06
83036 3,567 3,529 $79.48
83001 77 77 $78.27
73630 16 14 $78.10
85027 4,047 3,336 $74.15
90657 41 41 $72.00
90658 100 100 $72.00
90649 122 122 $72.00
86900 1,101 893 $70.14
84443 3,327 3,263 $67.16
80074 649 589 $67.12
84702 407 324 $66.20
80307 474 464 $63.85
87210 111 107 $60.28
G0480 Drug test def 1-7 classes 123 110 $54.36
82947 271 262 $52.40
87086 2,438 2,286 $47.97
82950 363 362 $46.48
87340 375 373 $45.60
90647 186 184 $45.00
99001 122 109 $43.79
83970 50 50 $42.93
87880 112 111 $41.94
86003 313 310 $27.90
99173 1,117 1,110 $27.82
76856 78 77 $27.06
90743 252 244 $27.00
90680 326 324 $27.00
36415 7,694 7,227 $25.32
J1100 Dexamethasone sodium phos 101 100 $24.00
83498 232 213 $20.34
85610 1,239 1,004 $18.12
84100 380 182 $16.78
81003 827 741 $15.50
90744 171 169 $9.00
80076 890 606 $8.94
82043 492 490 $5.08
85730 941 793 $3.86
87147 256 250 $1.92
87081 515 499 $1.14
85007 878 582 $0.54
86850 792 716 $0.00
86880 42 30 $0.00
83550 355 350 $0.00
87389 1,548 1,539 $0.00
3074F 160 150 $0.00
87040 286 244 $0.00
82746 194 191 $0.00
84484 130 113 $0.00
83735 520 243 $0.00
82550 31 28 $0.00
82306 1,036 1,027 $0.00
84703 582 553 $0.00
97014 1,043 500 $0.00
83615 90 70 $0.00
83021 284 264 $0.00
85379 26 26 $0.00
92226 125 122 $0.00
94760 1,101 1,009 $0.00
86803 393 393 $0.00
94640 13 12 $0.00
87088 1,341 1,298 $0.00
83880 168 127 $0.00
84153 156 153 $0.00
83690 689 627 $0.00
82261 210 191 $0.00
S9445 Pt education noc individ 64 64 $0.00
82378 31 30 $0.00
90688 47 47 $0.00
86762 103 94 $0.00
80081 175 175 $0.00
85652 628 603 $0.00
96161 105 105 $0.00
88141 61 61 $0.00
86140 592 545 $0.00
83789 210 191 $0.00
J1030 Methylprednisolone 40 mg inj 15 14 $0.00
83605 183 124 $0.00
82607 251 248 $0.00
84436 52 52 $0.00
88142 67 66 $0.00
3008F 198 183 $0.00
36416 102 102 $0.00
82962 97 56 $0.00
92567 186 93 $0.00
93000 28 28 $0.00
96127 55 55 $0.00
96151 143 142 $0.00
86780 13 13 $0.00
82784 13 13 $0.00
87077 546 521 $0.00
97750 30 29 $0.00
82951 29 28 $0.00
87390 14 13 $0.00
86376 13 13 $0.00
97018 30 12 $0.00
H0049 Alcohol/drug screening 71 71 $0.00
83986 15 15 $0.00
87205 89 77 $0.00
83002 12 12 $0.00
82120 14 14 $0.00
80047 20 14 $0.00
86225 14 13 $0.00
82952 14 13 $0.00
86160 14 13 $0.00
84480 13 13 $0.00
86706 14 14 $0.00
20610 19 16 $0.00
81000 17 17 $0.00
82274 125 124 $0.00
82948 309 289 $0.00
94150 56 53 $0.00
83540 426 421 $0.00
82776 210 191 $0.00
0502F 370 255 $0.00
83516 273 254 $0.00
86038 259 256 $0.00
83655 1,207 1,203 $0.00
85014 106 102 $0.00
82248 202 201 $0.00
87633 128 120 $0.00
87186 562 535 $0.00
84481 140 139 $0.00
84439 815 803 $0.00
84156 105 92 $0.00
92015 84 84 $0.00
82570 659 633 $0.00
99051 326 313 $0.00
90713 128 128 $0.00
99199 106 95 $0.00
G0444 Depression screen annual 40 40 $0.00
H1003 Prenatal at risk education 193 193 $0.00
87798 116 108 $0.00
86431 116 114 $0.00
99401 145 144 $0.00
92081 109 109 $0.00
11721 17 16 $0.00
92588 90 89 $0.00
90472 140 138 $0.00
84550 313 272 $0.00
92579 25 24 $0.00
96152 64 64 $0.00
83525 12 12 $0.00
90681 53 50 $0.00
92568 95 92 $0.00
92133 25 25 $0.00
84403 65 65 $0.00
A0425 Ground mileage 39 36 $0.00
86923 16 12 $0.00
92083 41 41 $0.00
84146 31 30 $0.00
99152 12 12 $0.00
99188 12 12 $0.00
86703 14 13 $0.00
87075 29 26 $0.00
88312 18 18 $0.00