Medicaid Provider Spending

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

INDEPENDENCE MEDICAL GROUP OF CENTRAL CALIFORNIA, INC.

NPI: 1477796464 · VISALIA, CA 93291 · Health Maintenance Organization · NPI assigned 04/07/2009

$2.52M
Total Medicaid Paid
283,860
Total Claims
255,874
Beneficiaries
339
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialHABERKERN, CHARLES (VICE PRESIDENT)
NPI Enumeration Date04/07/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 283,860 $2.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68,046 54,717 $678K
S9542 Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 318 300 $323K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,903 5,384 $111K
J3490 Unclassified drugs 287 276 $71K
59425 2,086 1,423 $58K
99283 Emergency department visit for the evaluation and management, moderate severity 2,331 2,280 $48K
81025 2,311 2,191 $48K
81002 3,588 3,114 $44K
85018 6,976 6,815 $43K
99173 3,935 3,913 $40K
81003 6,177 5,715 $40K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 252 248 $38K
99243 530 526 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,820 5,385 $32K
92551 3,303 3,293 $32K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,173 1,878 $30K
94760 2,923 2,396 $28K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,432 829 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 787 761 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,305 2,290 $23K
99284 Emergency department visit for the evaluation and management, high severity 647 632 $21K
92552 1,620 1,612 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,626 1,623 $21K
77067 Screening mammography, bilateral, including computer-aided detection 417 407 $20K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 311 305 $18K
71046 Radiologic examination, chest; 2 views 1,343 1,272 $18K
93015 158 152 $17K
3074F 2,452 2,047 $16K
88305 Level IV - Surgical pathology, gross and microscopic examination 358 351 $16K
3078F 2,171 1,822 $15K
36415 Collection of venous blood by venipuncture 9,550 9,106 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 574 564 $14K
99215 Prolong outpt/office vis 334 318 $12K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 71 71 $12K
92081 946 944 $12K
93000 520 499 $11K
J7050 Infusion, normal saline solution, 250 cc 156 152 $11K
97014 809 395 $11K
99051 556 496 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 648 648 $11K
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) 103 99 $10K
82947 1,406 1,193 $10K
78492 58 52 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 277 270 $9K
H1003 Prenatal care, at-risk enhanced service; education 569 379 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 182 181 $9K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,034 943 $9K
T4541 Incontinence product, disposable underpad, large, each 268 256 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 378 326 $8K
77063 Screening digital breast tomosynthesis, bilateral 277 270 $8K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 72 72 $8K
59514 15 14 $7K
86580 1,133 1,109 $7K
D1206 Topical application of fluoride varnish 441 440 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 584 501 $7K
85014 546 544 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 41 40 $7K
90670 914 901 $7K
82962 843 658 $7K
94200 740 307 $7K
81005 370 368 $7K
99000 956 899 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 663 654 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete 113 107 $6K
3079F 907 798 $6K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 148 137 $6K
S9088 Services provided in an urgent care center (list in addition to code for service) 271 262 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 536 196 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 70 49 $6K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 12 12 $6K
95117 576 210 $5K
88307 84 83 $5K
81000 859 796 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 656 359 $5K
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 273 194 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 344 337 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,562 3,466 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 331 282 $4K
3044F 240 238 $4K
G9318 Imaging study named according to standardized nomenclature 272 190 $4K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 141 136 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,560 3,465 $4K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 62 53 $4K
96151 320 192 $4K
36410 418 402 $3K
87510 196 188 $3K
88304 135 135 $3K
92250 81 81 $3K
00170 Anesthesia for intraoral procedures, including biopsy 102 102 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 154 140 $3K
90633 475 467 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 115 102 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $3K
76830 Ultrasound, transvaginal 76 73 $3K
90700 251 250 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 806 783 $3K
73562 200 170 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 292 291 $3K
99401 173 133 $3K
96127 234 234 $3K
87480 200 186 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,067 1,067 $3K
3075F 375 340 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 150 132 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 419 414 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 103 102 $2K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 476 476 $2K
90686 584 575 $2K
87797 168 163 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 138 124 $2K
71045 Radiologic examination, chest; single view 374 269 $2K
70450 Computed tomography, head or brain; without contrast material 155 122 $2K
88312 80 80 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 251 188 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 25 25 $2K
76642 58 33 $2K
87430 130 127 $2K
90648 415 405 $2K
90680 251 247 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 70 69 $2K
98940 264 209 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,633 11,502 $2K
90651 160 159 $2K
88342 28 26 $2K
3077F 335 295 $2K
S0020 Injection, bupivicaine hydrochloride, 30 ml 35 27 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 49 40 $2K
97139 322 132 $2K
90461 176 174 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 48 40 $2K
93880 12 12 $2K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 41 39 $2K
90716 237 234 $1K
72100 72 67 $1K
97010 403 155 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 839 833 $1K
90715 92 92 $1K
90713 106 106 $1K
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 13 13 $1K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 150 115 $1K
80053 Comprehensive metabolic panel 10,304 9,733 $1K
A4267 Contraceptive supply, condom, male, each 40 38 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 145 127 $1K
90707 250 247 $1K
92134 13 12 $1K
90723 198 193 $1K
94010 61 58 $1K
99242 12 12 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 218 146 $967.55
95115 185 74 $843.73
73030 55 52 $792.14
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 403 347 $732.79
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 17 17 $720.00
81001 1,973 1,901 $707.40
90734 77 77 $707.02
T1015 Clinic visit/encounter, all-inclusive 13 13 $661.49
3080F 101 82 $624.88
90688 184 177 $617.23
90647 140 140 $602.74
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 45 44 $594.16
87086 Culture, bacterial; quantitative colony count, urine 2,205 2,096 $570.26
90620 32 32 $486.08
76705 Ultrasound, abdominal, real time with image documentation; limited 33 24 $473.51
83735 611 357 $460.36
90656 23 23 $457.36
90472 Immunization administration, each additional vaccine (list separately) 74 74 $447.38
76641 15 12 $437.64
73630 38 38 $429.15
72110 17 16 $426.84
97035 120 57 $420.00
11721 15 14 $405.55
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 55 54 $385.98
A4927 Gloves, non-sterile, per 100 27 25 $385.87
97530 Therapeutic activities, direct patient contact, each 15 minutes 36 25 $385.00
99238 Hospital discharge day management, 30 minutes or less 13 12 $379.16
72081 12 12 $375.50
84484 354 313 $374.82
80048 Basic metabolic panel (calcium, ionized) 808 637 $371.39
90696 14 14 $359.01
83690 744 681 $344.31
80061 Lipid panel 7,311 7,272 $331.40
J1030 Injection, methylprednisolone acetate, 40 mg 41 28 $329.26
90658 53 50 $322.25
88142 170 170 $321.80
97161 46 38 $315.00
83036 Hemoglobin; glycosylated (A1C) 7,464 7,417 $307.43
85730 525 477 $300.30
A9150 Non-prescription drugs 30 30 $280.00
74176 Computed tomography, abdomen and pelvis; without contrast material 14 14 $279.32
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 16 15 $273.20
20550 12 12 $255.00
85610 810 702 $253.66
97164 14 14 $250.00
99223 Prolong inpt eval add15 m 16 16 $240.30
87081 511 506 $232.09
90685 85 80 $230.19
99174 127 127 $219.30
36400 117 112 $219.06
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 611 601 $217.64
73130 14 13 $215.71
84703 495 482 $209.51
87040 128 116 $191.57
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,200 4,174 $177.37
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 523 500 $173.47
97803 19 12 $159.79
87070 442 432 $158.76
90756 14 13 $157.00
87660 30 30 $148.63
86901 629 610 $139.17
88141 123 123 $136.12
83655 1,067 1,061 $134.21
36416 12 12 $128.48
Q3014 Telehealth originating site facility fee 13 13 $128.08
84702 539 447 $126.10
90674 37 37 $124.62
83605 93 78 $121.99
90649 16 16 $114.39
92227 13 12 $112.66
87186 796 769 $105.58
3015F 13 13 $100.03
80069 260 212 $99.72
83051 26 26 $97.24
T1014 Telehealth transmission, per minute, professional services bill separately 13 13 $95.96
80076 579 562 $89.80
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 13 13 $89.66
83970 142 138 $78.95
83880 163 153 $75.53
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $72.00
86900 615 598 $71.92
84100 377 269 $69.57
83550 772 762 $60.99
86850 617 604 $54.95
82550 88 78 $53.06
87077 199 192 $46.97
84443 Thyroid stimulating hormone (TSH) 7,438 7,361 $34.33
82150 198 194 $32.28
86592 1,665 1,644 $30.21
87340 590 587 $25.91
86141 102 102 $23.39
83615 121 104 $23.20
86140 740 716 $20.07
80306 49 44 $19.48
80074 608 603 $15.35
84550 773 757 $14.17
84436 1,322 1,312 $12.57
82607 1,030 1,027 $11.67
87088 200 195 $9.90
82247 57 53 $9.11
82310 52 43 $7.93
83540 840 827 $7.54
82728 497 491 $7.52
84520 83 74 $7.46
82565 253 243 $3.81
84153 498 497 $3.29
87205 12 12 $2.19
87046 151 151 $2.18
85027 604 595 $1.14
84132 43 42 $0.69
82105 50 48 $0.00
85652 966 948 $0.00
82043 1,143 1,134 $0.00
83001 225 225 $0.00
88738 18 18 $0.00
82378 24 24 $0.00
86803 260 259 $0.00
86171 177 144 $0.00
83002 207 207 $0.00
82746 877 875 $0.00
86706 123 123 $0.00
84479 855 849 $0.00
82670 97 97 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,521 1,511 $0.00
86695 123 122 $0.00
80047 33 27 $0.00
86376 137 137 $0.00
84480 394 394 $0.00
82950 393 391 $0.00
84144 45 44 $0.00
87522 Neg quan hep c or qual rna 13 13 $0.00
82951 33 33 $0.00
99383 34 34 $0.00
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 136 135 $0.00
82784 33 33 $0.00
86762 447 444 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 194 193 $0.00
86780 37 37 $0.00
82952 31 31 $0.00
86160 31 30 $0.00
86635 93 87 $0.00
99024 42 25 $0.00
83021 31 30 $0.00
86255 13 13 $0.00
86225 42 42 $0.00
82465 205 205 $0.00
84481 235 235 $0.00
A4259 Lancets, per box of 100 32 31 $0.00
82274 574 564 $0.00
86709 26 26 $0.00
84439 1,931 1,926 $0.00
86003 432 427 $0.00
86431 408 407 $0.00
82785 273 272 $0.00
87150 141 141 $0.00
87338 192 192 $0.00
85060 15 14 $0.00
82570 862 848 $0.00
87177 86 83 $0.00
84156 186 173 $0.00
84146 196 194 $0.00
87427 148 148 $0.00
85045 299 298 $0.00
82140 52 40 $0.00
86677 64 64 $0.00
87209 85 82 $0.00
86038 458 455 $0.00
84403 247 244 $0.00
83516 103 102 $0.00
82248 14 12 $0.00
83013 90 90 $0.00
84460 269 263 $0.00
84450 249 241 $0.00
83721 30 30 $0.00
90710 14 14 $0.00
87481 271 267 $0.00
82977 106 105 $0.00
86200 161 161 $0.00
86696 131 130 $0.00
86480 30 30 $0.00
86331 168 136 $0.00
87045 152 152 $0.00
87400 17 17 $0.00
90473 13 13 $0.00
83525 29 29 $0.00
82652 15 15 $0.00
86235 63 63 $0.00
87420 17 16 $0.00
87075 13 13 $0.00
80164 13 13 $0.00
83718 15 15 $0.00