Medicaid Provider Spending

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

MATHIAS PRIMARY CARE ASSOCIATES, INC

NPI: 1508524083 · HEMET, CA 92543 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 12/02/2021

$24K
Total Medicaid Paid
43,996
Total Claims
40,713
Beneficiaries
40
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMATHIAS, HERMAN (PRESIDENT)
NPI Enumeration Date12/02/2021

Related Entities

Other providers sharing the same authorized official: MATHIAS, HERMAN

ProviderCityStateTotal Paid
RAPID CARE ENTERPRISES, INC PERRIS CA $4.77M
APEX HEALTHCARE MEDICAL CENTER, INC HEMET CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 823 $722.41
2023 17,445 $8K
2024 25,728 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,357 3,130 $15K
99215 Prolong outpt/office vis 1,437 1,357 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 597 569 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 504 485 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 27 27 $409.02
99205 Prolong outpt/office vis 12 12 $164.57
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 84 82 $4.91
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,798 3,465 $0.34
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 73 72 $0.02
99497 104 97 $0.02
1160F 3,239 2,953 $0.00
3078F 1,627 1,550 $0.00
3725F 1,648 1,511 $0.00
4004F 3,785 3,431 $0.00
1158F 2,300 2,102 $0.00
0521F 676 632 $0.00
1159F 512 477 $0.00
3062F 47 47 $0.00
3077F 14 13 $0.00
3288F 486 460 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 27 25 $0.00
1090F 497 468 $0.00
0518F 29 29 $0.00
G9919 Screening performed and positive and provision of recommendations 30 30 $0.00
G9920 Screening performed and negative 65 65 $0.00
H0049 Alcohol and/or drug screening 2,615 2,384 $0.00
1036F 3,438 3,143 $0.00
1126F 1,907 1,790 $0.00
1157F 2,307 2,101 $0.00
3044F 867 850 $0.00
1170F 3,257 2,977 $0.00
1125F 1,300 1,223 $0.00
3074F 1,782 1,688 $0.00
3061F 320 302 $0.00
3075F 68 67 $0.00
3079F 237 225 $0.00
1101F 441 419 $0.00
3008F 443 418 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 27 25 $0.00
0509F 12 12 $0.00