Medicaid Provider Spending

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

EVERGREEN MEDICAL GROUP, INC.

NPI: 1508159294 · SAN JOSE, CA 95148 · Rheumatology Physician · NPI assigned 05/27/2011

$25K
Total Medicaid Paid
6,292
Total Claims
5,990
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialKAO, LILY (PHYSICIAN)
NPI Enumeration Date05/27/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 563 $2K
2019 1,058 $5K
2020 923 $4K
2021 1,075 $3K
2022 1,031 $2K
2023 1,022 $6K
2024 620 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,864 3,625 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 276 276 $3K
76881 280 259 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 355 348 $760.01
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 27 27 $270.32
36415 Collection of venous blood by venipuncture 1,434 1,413 $245.46
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43 30 $144.69
J1030 Injection, methylprednisolone acetate, 40 mg 13 12 $49.74