Medicaid Provider Spending

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

GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION

NPI: 1538670930 · CHULA VISTA, CA 91910 · Cardiovascular Disease Physician · NPI assigned 10/12/2017

$151K
Total Medicaid Paid
8,035
Total Claims
7,881
Beneficiaries
12
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMONDRAGON, GUSTAVO (PRESIDENT)
NPI Enumeration Date10/12/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 950 $18K
2019 1,624 $30K
2020 768 $17K
2021 715 $21K
2022 1,419 $21K
2023 1,835 $40K
2024 724 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,253 3,200 $69K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 307 305 $44K
93000 2,829 2,785 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,353 1,298 $6K
93356 101 101 $2K
99442 14 14 $357.30
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 35 35 $302.21
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 72 72 $294.48
99497 14 14 $91.14
3074F 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 33 33 $0.00
3078F 12 12 $0.00