Medicaid Provider Spending

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

INNOVI HEALTHCARE INC.

NPI: 1528689965 · TUSTIN, CA 92782 · Family Medicine Physician · NPI assigned 04/27/2020

$13K
Total Medicaid Paid
1,439
Total Claims
1,356
Beneficiaries
8
Codes Billed
2021-09
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHASAN, MARIAM (CEO)
Parent OrganizationINNOVI HEALTHCARE INC.
NPI Enumeration Date04/27/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $0.00
2022 280 $2K
2023 844 $7K
2024 302 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 719 663 $10K
99215 Prolong outpt/office vis 93 91 $2K
99205 Prolong outpt/office vis 12 12 $496.20
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $168.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $88.69
3008F 385 367 $5.00
3074F 176 171 $5.00
3078F 27 27 $5.00