Medicaid Provider Spending

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

PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP, INC

NPI: 1407880719 · SACRAMENTO, CA 95825 · Hospice and Palliative Medicine (Internal Medicine) Physician · NPI assigned 07/10/2006

$6.54M
Total Medicaid Paid
167,795
Total Claims
96,572
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEFSTRATIS, STEPHANIE (CPC, BUSINESS SERVICES MANAGER)
NPI Enumeration Date07/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,971 $817K
2019 25,842 $656K
2020 25,986 $769K
2021 25,220 $909K
2022 19,406 $935K
2023 24,802 $1.22M
2024 21,568 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 70,752 35,156 $4.57M
99233 Prolong inpt eval add15 m 29,793 17,289 $703K
99232 Subsequent hospital care, per day, moderate complexity 34,202 14,784 $633K
99223 Prolong inpt eval add15 m 9,876 9,510 $272K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,916 4,728 $118K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 731 724 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,456 2,432 $27K
95811 161 161 $19K
95810 Polysomnography; sleep staging with 4 or more additional parameters 185 184 $16K
94726 1,576 1,546 $15K
94729 1,541 1,515 $15K
Z4304 257 257 $14K
Z4306 259 259 $13K
99292 285 228 $12K
99222 Initial hospital care, per day, moderate complexity 216 209 $11K
95144 1,094 630 $11K
94010 1,673 1,543 $10K
94060 520 507 $9K
99215 Prolong outpt/office vis 55 45 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 203 201 $5K
99255 85 84 $5K
95117 4,579 2,864 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 259 144 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,604 1,168 $3K
95806 24 24 $2K
99238 Hospital discharge day management, 30 minutes or less 59 59 $1K
99205 Prolong outpt/office vis 12 12 $1K
95024 30 26 $995.42
99367 15 15 $476.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 257 162 $365.77
95115 38 25 $187.15
94618 66 66 $113.46
98967 16 15 $0.00