Medicaid Provider Spending

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

SIP DC CA, INC

NPI: 1588056014 · COSTA MESA, CA 92626 · Family Medicine Physician · NPI assigned 02/20/2015

$210K
Total Medicaid Paid
14,721
Total Claims
12,952
Beneficiaries
9
Codes Billed
2020-07
First Month
2021-06
Last Month

Provider Details

Authorized OfficialFORTICH, GLENN (REVENUE CYCLE MANAGEMENT DIRECTOR)
NPI Enumeration Date02/20/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 6,637 $80K
2021 8,084 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 6,925 5,941 $74K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,157 1,150 $58K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,194 1,176 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 927 839 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 982 855 $16K
99072 3,319 2,791 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 17 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28 28 $906.82
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 172 155 $516.12