Medicaid Provider Spending

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

LOYOLA MEDICAL CENTER A PROFESSIONAL CORPORATION

NPI: 1467654590 · SOUTH GATE, CA 90280 · Family Medicine Physician · NPI assigned 06/01/2007

$209K
Total Medicaid Paid
17,276
Total Claims
15,634
Beneficiaries
61
Codes Billed
2018-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialVENEGAS, CARLOS (DIRECTOR)
NPI Enumeration Date06/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 287 $344.92
2019 4,414 $172K
2020 6,474 $7K
2021 2,093 $9K
2022 3,265 $15K
2023 731 $6K
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 335 332 $94K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 299 298 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,980 2,545 $24K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 598 598 $8K
99442 182 164 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 97 95 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 769 680 $4K
96156 297 282 $2K
99000 824 814 $2K
97802 252 241 $2K
99384 13 13 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 30 28 $1K
G9920 Screening performed and negative 83 83 $1K
92551 118 118 $878.28
96160 252 234 $723.11
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 30 $647.93
99406 750 624 $607.25
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 347 329 $380.80
93000 31 30 $267.73
90756 14 14 $185.73
G8510 Screening for depression is documented as negative, a follow-up plan is not required 239 223 $155.58
85018 140 140 $126.73
81000 85 85 $122.40
92552 28 28 $121.20
81025 36 36 $98.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 12 12 $90.36
96127 117 111 $65.85
86580 13 12 $46.80
36415 Collection of venous blood by venipuncture 239 235 $46.70
99070 205 200 $40.23
3074F 1,223 1,077 $36.85
99401 162 152 $30.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 31 27 $23.46
81002 42 41 $7.24
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 164 153 $2.08
3079F 470 431 $1.20
3078F 1,207 1,073 $0.30
G8754 Most recent diastolic blood pressure < 90 mmhg 267 235 $0.00
4050F 347 293 $0.00
3008F 2,002 1,713 $0.00
3075F 275 249 $0.00
94760 12 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 157 148 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 33 33 $0.00
1220F 101 95 $0.00
3080F 75 71 $0.00
1157F 26 26 $0.00
99386 13 13 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 12 $0.00
3044F 16 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 211 187 $0.00
3077F 278 244 $0.00
1159F 188 181 $0.00
1160F 200 193 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 169 155 $0.00
82948 17 17 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 19 19 $0.00
99173 32 32 $0.00
1158F 81 76 $0.00
3288F 16 15 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 13 12 $0.00