Medicaid Provider Spending

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

JAMES L. KAY, D.O., P.C.

NPI: 1558646620 · LAKE FOREST, CA 92630 · Primary Care Clinic/Center · NPI assigned 10/20/2011

$2.51M
Total Medicaid Paid
105,593
Total Claims
104,092
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKAY, JAMES (PEDIATRICIAN)
NPI Enumeration Date10/20/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,546 $283K
2019 13,440 $336K
2020 12,625 $389K
2021 15,233 $478K
2022 15,426 $479K
2023 19,757 $373K
2024 16,566 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96156 9,711 9,632 $618K
97803 13,559 13,462 $274K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,815 3,746 $207K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,474 8,029 $202K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,884 2,871 $164K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,389 3,378 $160K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,421 3,401 $142K
G9920 Screening performed and negative 5,736 5,719 $106K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,680 1,589 $104K
92551 9,073 9,029 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,971 4,851 $77K
96151 2,783 2,743 $63K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 3,038 3,006 $38K
87110 1,688 1,677 $23K
90658 1,883 1,871 $17K
90670 1,906 1,880 $16K
99406 1,428 1,418 $15K
90698 1,599 1,571 $13K
90680 1,370 1,341 $11K
90633 1,443 1,427 $11K
90651 1,272 1,261 $10K
96127 2,820 2,790 $10K
87070 1,688 1,679 $10K
90710 1,189 1,179 $9K
85018 4,826 4,730 $9K
90744 1,106 1,086 $9K
83655 1,053 1,046 $8K
97802 344 338 $8K
90734 1,069 1,060 $8K
90686 1,400 1,391 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 284 282 $7K
90655 771 761 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 286 257 $7K
0002A 164 164 $7K
0001A 133 133 $5K
0071A 91 91 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 38 38 $4K
H0049 Alcohol and/or drug screening 145 145 $3K
0072A 78 78 $3K
90715 433 430 $3K
99173 822 821 $2K
90677 346 346 $1K
96150 59 58 $1K
90696 215 210 $1K
36415 Collection of venous blood by venipuncture 71 68 $1K
90700 175 175 $1K
85999 367 359 $1K
90649 82 76 $954.99
0074A 22 22 $880.00
90648 115 115 $866.71
0004A 21 21 $840.00
0154A 21 21 $840.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 74 73 $791.80
0082A 13 13 $520.00
99383 14 14 $501.38
88720 93 78 $373.05
G9919 Screening performed and positive and provision of recommendations 14 14 $116.00
90716 13 13 $36.00
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 15 15 $0.00