Medicaid Provider Spending

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

PISMO FAMILY PRACTICE MEDICAL CORPORATION A CA PROF MEDICAL CORP

NPI: 1497746473 · PISMO BEACH, CA 93449 · Family Medicine Physician · NPI assigned 10/31/2005

$48K
Total Medicaid Paid
6,889
Total Claims
6,523
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWEISS, WENDY (PRESIDENT)
NPI Enumeration Date10/31/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 552 $2K
2019 871 $5K
2020 925 $6K
2021 1,098 $7K
2022 1,086 $8K
2023 1,831 $11K
2024 526 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99336 2,285 2,217 $26K
99349 563 539 $16K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 275 243 $3K
90756 89 89 $753.42
99337 63 63 $704.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 17 $615.00
90674 195 194 $415.89
99350 Prolong home eval add 15m 16 16 $295.56
90682 31 31 $195.00
G0008 Administration of influenza virus vaccine 505 504 $109.82
90694 93 93 $81.83
90656 19 19 $24.23
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 95 86 $0.00
4040F 183 173 $0.00
G8482 Influenza immunization administered or previously received 1,351 1,231 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 40 38 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 409 376 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 193 172 $0.00
90662 35 35 $0.00
3017F 391 349 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 41 38 $0.00