Medicaid Provider Spending

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

DIVA MD

NPI: 1417343690 · LAGUNA HILLS, CA 92653 · Clinic/Center · NPI assigned 04/14/2015

$422.61
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2019-01
First Month
2019-01
Last Month

Provider Details

Authorized OfficialMIRAREFI, NAZANIN (NURSE/OFFICE MANAGER)
NPI Enumeration Date04/14/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $422.61

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $422.61