Medicaid Provider Spending

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

CUCAMONGA VALLEY MEDICAL GROUP, INC.

NPI: 1497783229 · FONTANA, CA 92336 · Family Medicine Physician · NPI assigned 06/29/2006

$67K
Total Medicaid Paid
367,189
Total Claims
355,070
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMART, KYLE (PRESIDENT)
NPI Enumeration Date06/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,975 $29K
2019 38,624 $11K
2020 30,406 $9K
2021 42,715 $5K
2022 55,933 $8K
2023 81,074 $2K
2024 95,462 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 49,384 47,362 $22K
93000 704 700 $13K
90715 419 411 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,121 4,102 $12K
90688 477 476 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,236 12,833 $698.88
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,536 2,535 $534.48
90673 90 90 $489.20
90686 550 549 $316.06
G9919 Screening performed and positive and provision of recommendations 124 124 $290.00
99385 413 413 $227.06
99490 Ccm add 20min 48 39 $186.26
94760 57,215 55,191 $182.22
H0049 Alcohol and/or drug screening 10,739 10,275 $112.50
86580 27 25 $86.58
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 911 872 $59.40
96127 2,759 2,703 $42.89
99174 2,183 2,146 $30.85
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 445 420 $27.71
82962 5,268 5,122 $19.06
98966 499 492 $12.13
99441 37 37 $12.00
90682 952 951 $10.65
G8510 Screening for depression is documented as negative, a follow-up plan is not required 6,345 6,286 $10.63
99173 11,132 11,089 $9.20
D1330 290 289 $9.00
96160 3,116 3,044 $4.05
81002 2,075 2,056 $3.41
85018 1,041 1,024 $2.05
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,724 2,703 $1.01
G9920 Screening performed and negative 745 745 $0.54
3725F 459 458 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,117 2,106 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 2,429 2,391 $0.00
3078F 9,230 8,967 $0.00
90461 486 476 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 20,949 20,158 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,430 1,423 $0.00
1160F 5,139 4,921 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 398 398 $0.00
1159F 10,207 9,460 $0.00
81025 452 452 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 295 295 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 360 358 $0.00
G0444 Annual depression screening, 5 to 15 minutes 766 762 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 317 317 $0.00
3077F 147 142 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $0.00
99408 61 61 $0.00
A4550 Surgical trays 71 71 $0.00
99442 15 15 $0.00
0521F 13 13 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 49 49 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 25 $0.00
3051F 12 12 $0.00
4004F 12 12 $0.00
99421 13 13 $0.00
2000F 31,005 30,019 $0.00
2001F 31,161 29,926 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 7,152 6,931 $0.00
1111F 2,411 2,381 $0.00
1126F 8,014 7,667 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 9,371 9,048 $0.00
3079F 3,504 3,440 $0.00
1125F 2,315 2,214 $0.00
3008F 663 663 $0.00
36416 1,192 1,170 $0.00
3074F 10,895 10,573 $0.00
1036F 10,686 10,130 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 747 723 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 378 366 $0.00
1000F 291 291 $0.00
3075F 1,388 1,367 $0.00
99000 230 228 $0.00
0001F 7,232 7,019 $0.00
3044F 1,468 1,433 $0.00
1034F 156 150 $0.00
92551 492 492 $0.00
D1310 299 298 $0.00
1170F 14 14 $0.00
88142 26 26 $0.00
90733 13 13 $0.00