ELLSWORTH GRANT, M.D., MEDICAL CORP
NPI: 1538247424
· LOS ANGELES, CA 90017
· Hematology & Oncology Physician
· NPI assigned 11/01/2006
$155K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: VENTURA, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
177 |
$20K |
| 2019 |
775 |
$50K |
| 2020 |
449 |
$82K |
| 2021 |
78 |
$3K |
| 2022 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
199 |
123 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
744 |
607 |
$60K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
155 |
92 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
43 |
27 |
$8K |
| J7050 |
Infusion, normal saline solution, 250 cc |
353 |
211 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$781.73 |
| 99245 |
|
12 |
12 |
$194.18 |