PALM DRIVE HEALTH CARE DISTRICT
NPI: 1508891649
· SEBASTOPOL, CA 95472
· 282N00000X
$183K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,800 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
1,478 |
1,323 |
$103K |
| 96374 |
|
267 |
242 |
$28K |
| 96375 |
|
171 |
150 |
$15K |
| 80053 |
|
298 |
279 |
$6K |
| 87502 |
|
24 |
24 |
$4K |
| 85027 |
|
315 |
293 |
$4K |
| 99285 |
|
15 |
15 |
$4K |
| J7030 |
Normal saline solution infus |
215 |
191 |
$3K |
| 93005 |
|
73 |
68 |
$3K |
| 96372 |
|
60 |
59 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
188 |
177 |
$2K |
| J2405 |
Ondansetron hcl injection |
130 |
118 |
$1K |
| 71045 |
|
32 |
30 |
$1K |
| 83690 |
|
100 |
94 |
$1K |
| J3490 |
Drugs unclassified injection |
60 |
44 |
$879.85 |
| 81015 |
|
159 |
153 |
$836.51 |
| J1170 |
Hydromorphone injection |
28 |
26 |
$527.74 |
| 81025 |
|
85 |
81 |
$489.01 |
| 71046 |
|
13 |
13 |
$483.33 |
| 84484 |
|
16 |
14 |
$340.84 |
| 84540 |
|
38 |
38 |
$300.86 |
| 81001 |
|
23 |
23 |
$157.43 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$92.07 |