Medicaid Provider Spending

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

CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC

NPI: 1578958450 · LODI, CA 95240 · Nurse Practitioner · NPI assigned 03/30/2015

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

Authorized official SMITH, KRISTOPHER controls 14+ related entities in our dataset. Read more

$5.42M
Total Medicaid Paid
212,996
Total Claims
204,901
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, KRISTOPHER (CFO)
NPI Enumeration Date03/30/2015

Related Entities

Other providers sharing the same authorized official: SMITH, KRISTOPHER

ProviderCityStateTotal Paid
EMERGENCY PHYSICIANS OF MID-AMERICA, P.C. OKLAHOMA CITY OK $29.23M
TEAM PHYSICIANS OF NORTHERN CALIFORNIA MEDICAL GROUP INC PLEASANTON CA $26.82M
SAN FRANCISCO PHYSICIANS INTERNATIONAL MEDICAL GROUP, INC SAN RAMON CA $19.24M
SOUTH CENTRAL EMERGENCY SERVICES PC STILLWATER OK $12.61M
EMERGENCY PROFESSIONALS OF COLORADO, PC GREELEY CO $10.65M
TEAM PHYSICIANS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC. OCEANSIDE CA $9.33M
CRUM,STEFANKO AND JONES LTD ELKO NV $2.83M
CHASE DENNIS EMERGENCY MEDICAL GROUP INC SANTA ROSA CA $2.72M
TEAM PHYSICIANS OF NEVADA-SCHERR, P.C. PLEASANTON CA $2.65M
SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC. SUSANVILLE CA $1.50M
WEST EMERGENCY SERVICES, LLC PRICE UT $808K
EMERGENCY SERVICES OF KANSAS, P.A. PLEASANTON CA $772K
KANSAS EMERGENCY SERVICES PA TOPEKA KS $195K
OKLAHOMA EMERGENCY SERVICES PC LAWTON OK $105K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,250 $671K
2019 34,003 $1.23M
2020 31,085 $825K
2021 40,304 $810K
2022 32,177 $694K
2023 34,533 $687K
2024 23,644 $503K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 124,598 118,982 $3.60M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11,172 11,131 $662K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,405 9,331 $503K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,550 27,535 $481K
99451 1,471 1,454 $51K
99215 Prolong outpt/office vis 618 612 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,495 2,415 $26K
94060 739 738 $10K
99442 274 272 $9K
99205 Prolong outpt/office vis 96 96 $9K
99497 153 153 $8K
99498 148 146 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 136 135 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 259 247 $3K
99443 43 43 $2K
94727 329 329 $2K
94729 344 344 $2K
69209 111 110 $895.40
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 47 47 $336.60
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 16 $129.90
G8510 Screening for depression is documented as negative, a follow-up plan is not required 10,019 9,752 $0.00
3079F 3,523 3,466 $0.00
3074F 1,301 1,252 $0.00
3080F 517 495 $0.00
1036F 175 154 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 3,715 3,499 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 175 154 $0.00
3044F 543 507 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,268 1,183 $0.00
3075F 469 433 $0.00
3351F 96 94 $0.00
3353F 21 19 $0.00
3352F 13 12 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 47 45 $0.00
3052F 30 26 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 13 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,266 2,196 $0.00
3077F 1,500 1,435 $0.00
3078F 3,809 3,706 $0.00
3046F 424 409 $0.00
99408 1,410 1,317 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 165 146 $0.00
G0029 Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period 29 27 $0.00
3051F 152 145 $0.00
4004F 41 38 $0.00
3725F 259 231 $0.00
99091 12 12 $0.00