Medicaid Provider Spending

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

EVSLA MEDICAL CORPORATION

NPI: 1477233898 · VALENCIA, CA 91355 · Vascular & Interventional Radiology Physician · NPI assigned 07/20/2023

$12K
Total Medicaid Paid
1,202
Total Claims
722
Beneficiaries
6
Codes Billed
2023-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDERMENDJIAN, HAROUT (OWNER)
NPI Enumeration Date07/20/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 288 $3K
2024 914 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 686 238 $5K
99222 Initial hospital care, per day, moderate complexity 253 245 $3K
99152 218 201 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $337.44
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 12 $302.40
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 14 $101.39