Medicaid Provider Spending

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

CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP

NPI: 1417155060 · LOS ANGELES, CA 90027 · Pediatric Gastroenterology Physician · NPI assigned 07/05/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LIN, JAMES controls 20+ related entities in our dataset. Read more

$4.95M
Total Medicaid Paid
76,806
Total Claims
63,787
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIN, JAMES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date07/05/2007

Related Entities

Other providers sharing the same authorized official: LIN, JAMES

ProviderCityStateTotal Paid
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. LOS ANGELES CA $24.64M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC. LOS ANGELES CA $16.93M
FOCUS MEDICAL IMAGING MONROVIA CA $11.40M
CHLAMG-PATHOLOGY LP LOS ANGELES CA $9.07M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $8.29M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $7.17M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $7.05M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $6.16M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $5.46M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.60M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.42M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $4.25M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $3.64M
SOUTHLAND DENTAL ANAHEIM CA $2.72M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.65M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.54M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.22M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.21M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.02M
CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP LOS ANGELES CA $2.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,236 $589K
2019 10,011 $694K
2020 15,858 $997K
2021 13,161 $854K
2022 8,549 $537K
2023 9,564 $603K
2024 10,427 $676K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Z4306 42,178 38,631 $2.10M
99215 Prolong outpt/office vis 10,612 9,850 $1.29M
99233 Prolong inpt eval add15 m 13,482 5,298 $897K
Z4305 3,387 3,310 $337K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,728 1,628 $129K
Z4303 2,457 2,434 $73K
99417 Prolong home eval add 15m 1,015 1,010 $41K
99232 Subsequent hospital care, per day, moderate complexity 398 239 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 219 209 $14K
99354 191 179 $12K
99245 101 100 $8K
Z4309 230 119 $6K
Z4304 96 96 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 25 25 $5K
99255 27 27 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 94 90 $2K
99244 Office or other outpatient consultation, moderate to high complexity 28 28 $2K
T1014 Telehealth transmission, per minute, professional services bill separately 303 300 $2K
93976 51 47 $2K
99253 28 27 $2K
99254 12 12 $937.91
99231 Subsequent hospital care, per day, straightforward or low complexity 22 12 $902.43
Z4302 110 104 $872.76
99243 12 12 $488.59