Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MONTEBELLO › BEVERLY PEDIATRIC MEDICAL GROUP, INC.

BEVERLY PEDIATRIC MEDICAL GROUP, INC.

NPI: 1508963653 · MONTEBELLO, CA 90640 · Pediatrics Physician · NPI assigned 09/20/2006

$147K
Total Medicaid Paid
26,670
Total Claims
25,815
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDE LA ROCHA, HECTOR (PRESIDENT/OWNER)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,655 $23K
2019 5,153 $35K
2020 4,783 $28K
2021 3,601 $15K
2022 4,037 $20K
2023 4,350 $18K
2024 2,091 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,495 5,853 $37K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 372 363 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,942 4,883 $15K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 809 803 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,250 2,236 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 875 875 $6K
90480 145 138 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 312 289 $4K
99460 83 83 $4K
90686 2,175 2,174 $3K
0071A 87 81 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 403 402 $3K
0072A 69 66 $3K
90685 355 332 $2K
92551 2,387 2,386 $2K
90651 402 401 $2K
90670 494 494 $2K
90723 378 376 $2K
90647 368 364 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127 126 $1K
90680 287 285 $1K
0111A 24 24 $920.00
91319 13 12 $877.82
0003A 13 13 $520.00
0124A 12 12 $480.00
0073A 12 12 $480.00
90633 64 64 $90.00
94760 593 545 $89.38
99173 1,598 1,597 $66.20
90671 14 14 $54.00
90710 116 116 $54.00
90734 122 122 $45.00
90715 39 39 $36.00
97802 59 59 $30.05
90700 13 13 $27.00
90619 60 60 $18.00
91320 13 13 $0.12
90672 78 78 $0.00
90620 12 12 $0.00