Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Spectrumcare Rehabilitation Medical Center

Spectrumcare Rehabilitation Medical Center was paid $1.87M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 36% of everything it billed.

33Billing provider infoSPECTRUMCARE REHABILITATION MEDICAL CENTER
NAPA, CA 94558
33aNPI1477578201assigned 07/13/2006
28Total paid$1.87M
24GClaims38,836
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California

Rank by total paid#9 of 70
Median peer was paid$39K
This provider vs. median48×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20186,065$140K
20196,291$229K
20204,765$218K
20218,414$434K
20227,143$407K
20232,994$191K
2024incomplete3,164$248K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 36% 2,664 2,480 $669K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22% 17,899 15,859 $413K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 16% 3,772 2,518 $291K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12% 3,005 2,793 $231K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4.6% 3,660 2,411 $85K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 2.7% 258 234 $51K
J3490 Unclassified drugs 1.8% 740 682 $34K
76942 1.3% 1,672 1,611 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.2% 1,286 1,237 $22K
62370 <1% 1,228 1,195 $13K
76881 <1% 227 222 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 110 110 $6K
15 more codes
62369 <1% 353 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 533 $5K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 17 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 68 $2K
62368 <1% 179 $2K
95970 <1% 100 $2K
62367 <1% 183 $989.85
96103 <1% 53 $308.73
96130 <1% 12 $273.51
96127 <1% 30 $189.37
99152 <1% 55 $189.25
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 12 $58.67
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 659 $25.88
G0444 Annual depression screening, 5 to 15 minutes 0% 45 $0.00
99408 0% 16 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGRIGSBY, ERIC (OWNER)
Same official

Other billing entities under GRIGSBY, ERIC

Full network →
ProviderLocationPaid
Napa Biomedical Services, INC.Napa, CA$516.54

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.