Medicaid Provider Spending

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

NORTH EAST MEDICAL SERVICES

NPI: 1548697444 · SAN JOSE, CA 95131 · Case Manager/Care Coordinator · NPI assigned 10/09/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHAN, EDDIE controls 20+ related entities in our dataset. Read more

$38.88M
Total Medicaid Paid
606,075
Total Claims
463,961
Beneficiaries
163
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAN, EDDIE (PRESIDENT & CEO)
NPI Enumeration Date10/09/2013

Related Entities

Other providers sharing the same authorized official: CHAN, EDDIE

ProviderCityStateTotal Paid
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $142.96M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $59.12M
NORTH EAST MEDICAL SERVICES DALY CITY CA $47.54M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $16.05M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $10.35M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $8.89M
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $8.50M
NORTH EAST MEDICAL SERVICES SAN JOSE CA $2.39M
NORTH EAST MEDICAL SERVICES DALY CITY CA $546K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $233K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $131K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $64K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $40K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $40K
NORTH EAST MEDICAL SERVICES DALY CITY CA $35K
NORTH EAST MEDICAL SERVICES DALY CITY CA $15K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $7K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $2K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $2K
NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,064 $1.75M
2019 75,614 $4.50M
2020 77,515 $5.25M
2021 96,361 $6.36M
2022 59,493 $5.15M
2023 93,745 $8.08M
2024 168,283 $7.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 169,149 142,824 $32.49M
00003 Internal/system code - not a standard HCPCS code 17,690 13,119 $4.66M
G9012 Other specified case management service not elsewhere classified 6,424 5,344 $469K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 129,994 92,196 $174K
97810 21,903 8,398 $147K
97811 19,606 8,083 $121K
77067 Screening mammography, bilateral, including computer-aided detection 2,601 1,963 $80K
90834 Psychotherapy, 45 minutes with patient 2,089 825 $78K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,407 17,455 $48K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,794 1,566 $44K
0011A 979 820 $43K
0002A 555 554 $37K
0001A 528 527 $35K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,984 3,905 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,822 2,107 $28K
90791 Psychiatric diagnostic evaluation 497 350 $27K
90832 Psychotherapy, 30 minutes with patient 2,593 1,227 $26K
0012A 416 387 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,375 1,799 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,832 1,269 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete 883 661 $20K
0031A 292 291 $19K
92551 7,020 5,329 $19K
77063 Screening digital breast tomosynthesis, bilateral 2,054 1,546 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,569 1,187 $17K
0064A 262 262 $17K
90688 5,130 4,226 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14,307 9,170 $12K
0124A 177 177 $11K
0134A 187 187 $11K
90739 147 98 $8K
0054A 110 110 $7K
99490 Ccm add 20min 516 516 $7K
0004A 104 104 $7K
71046 Radiologic examination, chest; 2 views 866 650 $7K
G9920 Screening performed and negative 1,920 1,754 $6K
90756 613 529 $5K
90670 513 356 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,482 15,187 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 259 142 $4K
77080 375 272 $4K
0071A 43 43 $3K
76641 113 86 $3K
90662 1,284 1,079 $3K
0072A 40 40 $3K
90651 991 764 $3K
90472 Immunization administration, each additional vaccine (list separately) 2,389 2,173 $2K
90750 219 176 $2K
72110 189 138 $2K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 955 789 $2K
90746 49 42 $2K
90620 204 171 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,170 2,166 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 208 135 $1K
73562 187 99 $1K
90715 245 202 $1K
76770 56 41 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 157 111 $930.80
90732 52 31 $873.00
0034A 12 12 $804.00
99215 Prolong outpt/office vis 215 149 $707.51
77065 Tomosynthesis, mammo 16 12 $627.34
76705 Ultrasound, abdominal, real time with image documentation; limited 37 27 $623.71
76830 Ultrasound, transvaginal 35 26 $586.26
G0008 Administration of influenza virus vaccine 1,435 1,215 $578.05
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 35 26 $570.65
G9008 Coordinated care fee, physician coordinated care oversight services 1,646 1,228 $530.93
99384 43 36 $507.64
93000 219 175 $480.89
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 37 26 $460.70
90480 234 208 $449.25
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 172 156 $410.26
76642 13 13 $383.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 143 85 $347.70
99442 186 157 $301.71
91322 18 15 $298.11
90658 823 697 $284.43
90734 366 256 $212.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 48 48 $208.80
99406 54 27 $200.25
90686 1,897 1,582 $156.15
90716 21 12 $122.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 93 68 $63.63
90698 332 196 $60.00
90677 39 36 $54.80
91320 57 55 $46.97
V2020 Frames, purchases 4,425 4,424 $42.62
90474 47 39 $40.10
98940 45 27 $39.92
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $22.90
83036 Hemoglobin; glycosylated (A1C) 215 182 $22.45
90633 240 157 $19.84
99173 5,946 5,303 $7.24
83037 125 110 $5.48
90689 657 533 $2.00
82962 17 14 $1.80
D1206 Topical application of fluoride varnish 45 45 $0.00
D0603 24 24 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,997 1,987 $0.00
3074F 17,889 14,303 $0.00
3079F 4,703 3,923 $0.00
3008F 17,050 13,591 $0.00
3075F 5,270 4,314 $0.00
3044F 112 64 $0.00
2023F 178 166 $0.00
H0049 Alcohol and/or drug screening 512 509 $0.00
3351F 1,435 1,207 $0.00
1125F 570 456 $0.00
1126F 2,998 2,360 $0.00
3080F 175 142 $0.00
90744 99 66 $0.00
G0009 Administration of pneumococcal vaccine 13 13 $0.00
D0210 Intraoral - complete series of radiographic images 48 48 $0.00
90619 250 231 $0.00
90680 84 51 $0.00
90656 187 177 $0.00
99383 28 26 $0.00
91301 110 70 $0.00
D1330 57 57 $0.00
90674 59 58 $0.00
D9995 199 196 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16 13 $0.00
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed 27 27 $0.00
D0999 Unspecified diagnostic procedure, by report 514 507 $0.00
D0120 Periodic oral evaluation - established patient 37 37 $0.00
1170F 174 107 $0.00
D1310 88 88 $0.00
D9999 Unspecified adjunctive procedure, by report 315 312 $0.00
1101F 88 88 $0.00
D0150 Comprehensive oral evaluation - new or established patient 54 54 $0.00
D0230 Intraoral - periapical each additional radiographic image 43 43 $0.00
1000F 23 16 $0.00
1111F 62 44 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 4,102 4,102 $0.00
3078F 22,336 17,589 $0.00
3077F 4,188 3,282 $0.00
1160F 8,991 7,511 $0.00
90687 1,081 1,003 $0.00
1159F 11,780 9,599 $0.00
90736 54 54 $0.00
92341 302 302 $0.00
1003F 97 97 $0.00
1090F 95 95 $0.00
2014F 78 78 $0.00
90672 21 19 $0.00
92015 Determination of refractive state 305 305 $0.00
3288F 177 106 $0.00
1494F 79 79 $0.00
D9430 536 528 $0.00
Z6300 14 14 $0.00
99188 251 244 $0.00
D0274 Bitewings - four radiographic images 30 30 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 35 32 $0.00
Z6308 12 12 $0.00
90710 17 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 99 99 $0.00
D1120 Prophylaxis - child 45 45 $0.00
99397 14 14 $0.00
1158F 144 80 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 42 21 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 30 30 $0.00
D1110 Prophylaxis - adult 42 42 $0.00
D0270 13 13 $0.00