Medicaid Provider Spending

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

COUNTY OF MONTEREY

NPI: 1457303356 · SALINAS, CA 93906 · Pediatrics Physician · NPI assigned 05/17/2006

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

Authorized official EDGCOMB, JULIA controls 11+ related entities in our dataset. Read more

$31.98M
Total Medicaid Paid
717,653
Total Claims
678,331
Beneficiaries
87
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDGCOMB, JULIA (DIRECTOR/COO CLINIC SERVICES DIV.)
Parent OrganizationMONETERY COUNTY HEALTH DEPARTMENT
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: EDGCOMB, JULIA

ProviderCityStateTotal Paid
COUNTY OF MONTEREY SEASIDE CA $41.21M
COUNTY OF MONTEREY SALINAS CA $37.44M
COUNTY OF MONTEREY SALINAS CA $27.02M
COUNTY OF MONTEREY SALINAS CA $22.62M
COUNTY OF MONTEREY MARINA CA $5.45M
COUNTY OF MONTEREY SALINAS CA $3.58M
COUNTY OF MONTEREY SALINAS CA $634K
COUNTY OF MONTEREY SALINAS CA $487K
COUNTY OF MONTEREY SALINAS CA $169K
COUNTY OF MONTEREY SALINAS CA $86K
COUNTY OF MONTEREY SEASIDE CA $81K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 103,922 $5.34M
2019 110,988 $5.24M
2020 101,973 $4.55M
2021 107,119 $4.48M
2022 95,872 $3.58M
2023 111,939 $4.58M
2024 85,840 $4.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 181,878 167,434 $24.09M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 24,960 24,894 $1.16M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 24,542 23,892 $1.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 172,864 156,328 $932K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14,411 14,376 $817K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16,669 16,040 $616K
92551 27,475 27,329 $552K
G9920 Screening performed and negative 9,940 9,937 $411K
90686 26,787 26,515 $352K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,637 21,389 $205K
99173 27,348 27,210 $171K
90670 9,040 8,771 $117K
90648 8,976 8,717 $114K
85018 43,043 42,161 $97K
90651 6,109 6,091 $85K
90792 Psychiatric diagnostic evaluation with medical services 912 911 $84K
90633 6,414 6,148 $82K
90723 6,003 5,932 $76K
90680 5,855 5,800 $75K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,204 2,143 $66K
90710 3,291 3,273 $50K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,927 1,927 $48K
90716 3,323 3,133 $47K
90734 3,479 3,472 $47K
90715 3,342 3,335 $44K
90696 3,326 3,309 $44K
90707 3,121 2,937 $41K
90620 2,862 2,859 $40K
90700 2,926 2,840 $37K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,630 12,909 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,594 3,553 $29K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,640 2,610 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 777 728 $25K
99188 1,091 1,086 $25K
90697 1,664 1,598 $23K
90619 1,590 1,589 $22K
90677 1,179 1,178 $21K
90656 1,368 1,368 $20K
90688 1,241 1,238 $17K
99381 226 221 $17K
86580 3,583 3,488 $17K
83655 1,208 1,205 $16K
H0049 Alcohol and/or drug screening 377 377 $14K
0082A 196 196 $13K
90685 765 759 $13K
90681 941 890 $13K
99215 Prolong outpt/office vis 294 287 $11K
99000 2,847 2,718 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 333 331 $10K
0072A 130 130 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 209 208 $8K
81002 3,689 3,509 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 210 189 $6K
88720 1,737 1,203 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 101 101 $6K
90671 368 368 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 423 376 $5K
0124A 64 64 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 173 172 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,443 1,294 $4K
0081A 48 48 $3K
87807 394 391 $3K
90381 176 157 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 409 379 $2K
0071A 32 32 $2K
0173A 26 26 $2K
0074A 26 26 $2K
69210 776 391 $2K
0054A 14 14 $938.00
0154A 13 13 $871.00
91319 91 51 $695.00
81025 178 173 $613.15
90744 45 43 $584.86
90380 36 35 $486.00
90480 13 13 $416.00
90732 26 26 $355.50
94010 13 13 $287.82
90756 16 16 $287.00
82947 64 64 $245.28
90713 16 16 $216.00
91318 13 12 $182.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 1,352 1,227 $167.53
91321 12 12 $162.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 12 12 $120.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 61 61 $49.06
81003 19 19 $36.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 15 $0.00