COUNTY OF SAN BERNARDINO
NPI: 1548330822
· COLTON, CA 92324
· 282N00000X
$108K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
7,699 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
2,190 |
181 |
$69K |
| 36415 |
|
298 |
85 |
$29K |
| J3490 |
Drugs unclassified injection |
30 |
12 |
$8K |
| Q4081 |
Epoetin alfa, 100 units esrd |
1,033 |
128 |
$477.68 |
| 83970 |
|
167 |
142 |
$193.48 |
| 82728 |
|
166 |
142 |
$46.89 |
| 83550 |
|
166 |
142 |
$26.20 |
| 83735 |
|
147 |
123 |
$24.58 |
| 85027 |
|
147 |
123 |
$23.70 |
| 84100 |
|
213 |
143 |
$23.49 |
| 83540 |
|
166 |
142 |
$22.27 |
| 83615 |
|
147 |
123 |
$21.80 |
| J2501 |
Paricalcitol |
824 |
60 |
$18.00 |
| 84520 |
|
167 |
141 |
$14.27 |
| 85014 |
|
180 |
142 |
$7.88 |
| 85018 |
|
180 |
142 |
$7.87 |
| J1644 |
Inj heparin sodium per 1000u |
1,356 |
95 |
$4.80 |
| 85025 |
|
19 |
19 |
$0.96 |
| 82040 |
|
19 |
19 |
$0.60 |
| 87340 |
|
33 |
31 |
$0.00 |
| 84132 |
|
30 |
13 |
$0.00 |
| 86317 |
|
21 |
19 |
$0.00 |