Medicaid Provider Spending

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

CANOGA PARK URGENT CARE FAMILY MEDICINE

NPI: 1487913810 · CANOGA PARK, CA 91303 · General Practice Physician · NPI assigned 05/04/2012

$619K
Total Medicaid Paid
21,066
Total Claims
20,113
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFERIDOUNI, SYRUS (PRESIDENT)
NPI Enumeration Date05/04/2012

Related Entities

Other providers sharing the same authorized official: FERIDOUNI, SYRUS

ProviderCityStateTotal Paid
RESEDA URGENT CARE, INC. RESEDA CA $1.36M
VAN NUYS URGENT CARE FAMILY MEDICINE INC VAN NUYS CA $1.07M
RESEDA FAMILY MEDICINE CLINIC AND MULTI-SPECIALTY GROUP INC RESEDA CA $110K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,440 $170K
2019 4,858 $153K
2020 1,994 $50K
2021 1,090 $31K
2022 3,034 $60K
2023 3,073 $83K
2024 2,577 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,934 7,636 $255K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 875 796 $144K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,488 4,238 $110K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 890 783 $69K
99215 Prolong outpt/office vis 304 289 $12K
94760 2,853 2,752 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 332 332 $4K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 269 262 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 92 92 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 625 613 $2K
99205 Prolong outpt/office vis 39 39 $2K
81025 682 650 $2K
A4267 Contraceptive supply, condom, male, each 242 234 $2K
99000 580 566 $2K
81003 841 812 $1K
99072 20 19 $67.13