PINNACLE SJIR
NPI: 1437705456
· MANTECA, CA 95337
· Diagnostic Radiology Physician
· NPI assigned 08/15/2019
$398K
Total Medicaid Paid
Provider Details
| Authorized Official | SOTO, DAVID (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 08/15/2019 |
Related Entities
Other providers sharing the same authorized official: SOTO, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
390 |
$23K |
| 2021 |
846 |
$15K |
| 2022 |
1,093 |
$69K |
| 2023 |
1,107 |
$156K |
| 2024 |
886 |
$134K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
467 |
433 |
$296K |
| 99152 |
|
1,169 |
1,059 |
$25K |
| 76937 |
|
1,143 |
1,012 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
411 |
389 |
$12K |
| 93990 |
|
269 |
266 |
$11K |
| 36907 |
|
31 |
26 |
$10K |
| 36901 |
|
29 |
26 |
$7K |
| 99153 |
Mod sedat endo service >5yrs |
676 |
610 |
$7K |
| 37252 |
|
16 |
15 |
$4K |
| 93985 |
|
29 |
28 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$185.53 |