Medicaid Provider Spending

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

SUCCESS HEALTHCARE 1 LLC

NPI: 1427293216 · LOS ANGELES, CA 90026 · 273R00000X

$91K
Total Medicaid Paid
20,506
Total Claims
13,527
Beneficiaries
47
Codes Billed
2018-01
First Month
2020-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,145 $51K
2019 8,221 $38K
2020 140 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpt clinic visit 419 394 $10K
99202 542 502 $9K
99201 671 617 $8K
99204 250 231 $8K
99221 296 273 $7K
99203 236 222 $7K
0456 359 345 $6K
80053 1,062 986 $5K
85025 1,531 1,427 $4K
71045 451 427 $3K
96372 364 327 $2K
J3490 Drugs unclassified injection 952 792 $2K
36425 229 214 $2K
0760 122 108 $2K
0250 498 448 $2K
93005 359 345 $2K
70450 15 14 $922.43
45378 75 72 $916.96
0750 33 33 $899.52
0761 43 41 $887.01
81001 704 666 $878.21
0360 120 89 $801.84
85730 475 454 $666.50
36415 993 909 $617.62
80048 382 364 $597.97
87086 183 170 $582.20
0710 192 188 $534.00
82553 156 151 $485.26
85610 477 456 $440.05
J7030 Normal saline solution infus 212 197 $435.12
84484 158 153 $420.93
83690 133 125 $408.71
80307 14 12 $391.08
82150 133 125 $373.75
82550 156 151 $285.91
A4649 Surgical supplies 146 127 $226.61
J0696 Ceftriaxone sodium injection 43 43 $86.98
94640 14 12 $85.44
84703 25 25 $78.92
0270 136 115 $56.57
81025 16 16 $24.92
0272 98 90 $24.75
82948 143 136 $9.31
96376 13 12 $0.00
J2250 Inj midazolam hydrochloride 13 12 $0.00
90853 6,849 896 $0.00
J7120 Ringers lactate infusion 15 15 $0.00