PACIFICA HEALTHCARE PROVIDERS LLC
NPI: 1528628633
· LAS VEGAS, NV 89121
· 103K00000X
$4.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
711 |
$40K |
| 2021 |
37,835 |
$932K |
| 2022 |
82,144 |
$2.63M |
| 2023 |
34,645 |
$980K |
| 2024 |
7,569 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90876 |
|
10,718 |
1,783 |
$930K |
| 97032 |
|
26,456 |
3,758 |
$571K |
| 97112 |
|
21,244 |
2,995 |
$555K |
| 90868 |
|
3,561 |
323 |
$452K |
| 97016 |
|
24,701 |
3,740 |
$322K |
| 90837 |
|
5,665 |
2,324 |
$302K |
| 95816 |
|
1,142 |
1,103 |
$289K |
| 90834 |
|
4,161 |
1,661 |
$262K |
| Q3014 |
Telehealth facility fee |
9,920 |
1,737 |
$213K |
| 98960 |
|
3,319 |
454 |
$103K |
| 96132 |
|
1,146 |
1,106 |
$102K |
| 97010 |
|
16,236 |
2,332 |
$83K |
| 96372 |
|
4,553 |
1,071 |
$58K |
| 99213 |
|
1,264 |
1,199 |
$56K |
| 96136 |
|
1,128 |
1,090 |
$37K |
| 96137 |
|
1,148 |
1,107 |
$35K |
| 99070 |
|
2,089 |
685 |
$31K |
| 90791 |
|
358 |
354 |
$31K |
| 90792 |
|
321 |
309 |
$29K |
| 92584 |
|
549 |
495 |
$24K |
| 97110 |
|
5,615 |
921 |
$18K |
| 90867 |
|
59 |
57 |
$15K |
| 99214 |
|
208 |
202 |
$14K |
| 99204 |
|
94 |
86 |
$9K |
| 90832 |
|
642 |
275 |
$7K |
| 92585 |
|
101 |
78 |
$6K |
| 90901 |
|
565 |
132 |
$5K |
| H0002 |
Alcohol and/or drug screenin |
134 |
134 |
$4K |
| 97124 |
|
6,776 |
1,083 |
$4K |
| H0031 |
Mh health assess by non-md |
89 |
88 |
$3K |
| 99344 |
|
16 |
15 |
$3K |
| J3420 |
Vitamin b12 injection |
1,317 |
397 |
$2K |
| J3415 |
Pyridoxine hcl 100 mg |
1,980 |
481 |
$2K |
| 95957 |
|
45 |
45 |
$2K |
| 99212 |
|
34 |
33 |
$1K |
| 93040 |
|
102 |
79 |
$630.30 |
| 90833 |
|
12 |
12 |
$533.91 |
| 11104 |
|
15 |
15 |
$486.60 |
| 95930 |
|
45 |
45 |
$364.23 |
| 11105 |
|
15 |
15 |
$265.40 |
| 97014 |
|
247 |
37 |
$42.54 |
| J1955 |
Inj levocarnitine per 1 gm |
1,834 |
417 |
$0.00 |
| J2400 |
Chloroprocaine hcl injection |
997 |
216 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
143 |
63 |
$0.00 |
| 99490 |
Ccm add 20min |
14 |
14 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
1,981 |
481 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
145 |
64 |
$0.00 |