Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LA PUENTE › MOUSAVILAR, SHAMS

MOUSAVILAR, SHAMS

NPI: 1568400505 · LA PUENTE, CA 91744 · 208000000X

$6K
Total Medicaid Paid
863
Total Claims
800
Beneficiaries
12
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 863 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99394 45 45 $2K
99393 56 56 $2K
92552 108 108 $991.92
99392 30 30 $938.40
90472 99 64 $392.30
90471 103 103 $381.04
99173 69 69 $175.16
92015 36 36 $7.19
99213 281 253 $0.00
90686 12 12 $0.00
90716 12 12 $0.00
90707 12 12 $0.00