Medicaid Provider Spending

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

LIFE HEALTH CARE MEDICAL GROUP INC

NPI: 1417685355 · SANTA ANA, CA 92705 · Clinic/Center · NPI assigned 08/09/2022

$93K
Total Medicaid Paid
5,060
Total Claims
4,890
Beneficiaries
10
Codes Billed
2023-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPENUNURI, RAFAEL (MD)
NPI Enumeration Date08/09/2022

Related Entities

Other providers sharing the same authorized official: PENUNURI, RAFAEL

ProviderCityStateTotal Paid
HEACOCK HEALTH MEDICAL GROUP, INC. MORENO VALLEY CA $1.59M
REMEDIAL MEDICAL GROUP MORENO VALLEY CA $220K
REMEDIAL PATIENTS CARE INC CORONA CA $42K
SUPERIOR FAMILY MEDICAL GROUP INC NEWPORT BEACH CA $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,551 $30K
2024 3,509 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 473 472 $50K
99497 1,827 1,770 $10K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 546 521 $10K
99350 Prolong home eval add 15m 927 859 $8K
99345 Prolong home eval add 15m 735 728 $6K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 127 126 $5K
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) 316 307 $2K
99442 20 20 $460.50
99349 77 75 $151.02
99344 12 12 $0.00