COUNTY OF FRESNO
NPI: 1417047432
· FRESNO, CA 93725
· Rehabilitation Clinic/Center
· NPI assigned 10/13/2006
$465K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: POMAVILLE, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,783 |
$103K |
| 2019 |
4,888 |
$104K |
| 2020 |
1,660 |
$37K |
| 2021 |
2,862 |
$57K |
| 2022 |
1,455 |
$33K |
| 2023 |
3,568 |
$79K |
| 2024 |
2,330 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| X4110 |
|
4,055 |
3,133 |
$85K |
| X3920 |
|
1,880 |
1,792 |
$65K |
| X3908 |
|
2,363 |
1,844 |
$50K |
| X4100 |
|
1,428 |
1,375 |
$49K |
| X4112 |
|
3,621 |
2,796 |
$42K |
| X3922 |
|
1,286 |
1,251 |
$40K |
| X4102 |
|
1,213 |
1,175 |
$39K |
| X3928 |
|
1,162 |
1,088 |
$24K |
| X4120 |
|
948 |
921 |
$20K |
| X3910 |
|
2,014 |
1,555 |
$18K |
| X4104 |
|
824 |
823 |
$17K |
| X3926 |
|
752 |
750 |
$16K |