Medicaid Provider Spending

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

UNIVERSITY OF CALIFORNIA IRVINE

NPI: 1598790529 · ANAHEIM, CA 92801 · Federally Qualified Health Center (FQHC) · NPI assigned 07/11/2006

$26.98M
Total Medicaid Paid
385,445
Total Claims
341,943
Beneficiaries
119
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHURCHILL, GINA (REIMBURSEMENT DIRECTOR)
Parent OrganizationUC IRVINE MEDICAL CENTER
NPI Enumeration Date07/11/2006

Related Entities

Other providers sharing the same authorized official: CHURCHILL, GINA

ProviderCityStateTotal Paid
UNIVERSITY OF CALIFORNIA IRVINE SANTA ANA CA $39.98M
UNIVERSITY OF CALIFORNIA IRVINE SANTA ANA CA $256K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,223 $3.32M
2019 40,239 $3.34M
2020 59,417 $3.77M
2021 67,668 $4.43M
2022 50,112 $3.44M
2023 62,969 $4.11M
2024 70,817 $4.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 127,916 116,985 $24.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 81,741 72,555 $758K
96156 15,979 15,488 $365K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,475 17,908 $260K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,370 6,495 $158K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,868 6,172 $150K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,670 4,415 $144K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,484 3,098 $95K
0002A 1,532 816 $81K
0001A 1,472 779 $67K
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 3,299 2,991 $61K
90677 1,228 780 $54K
90686 9,152 8,630 $53K
0012A 833 468 $43K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 2,375 2,117 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,641 4,322 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,486 1,269 $35K
0011A 801 450 $34K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,866 1,758 $34K
G9920 Screening performed and negative 5,355 4,089 $34K
90670 5,880 5,095 $30K
59425 529 344 $26K
96151 1,717 1,693 $19K
90651 704 649 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,267 7,453 $16K
90698 3,499 3,031 $16K
90633 2,794 2,512 $15K
90715 725 696 $13K
H1001 Prenatal care, at-risk enhanced service; antepartum management 173 127 $13K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,268 1,878 $13K
99215 Prolong outpt/office vis 203 127 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 753 750 $11K
85018 12,059 9,591 $11K
90681 2,289 1,857 $10K
90744 1,711 1,691 $9K
90750 70 63 $9K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 452 318 $8K
0072A 129 66 $7K
90656 754 576 $6K
0064A 90 52 $5K
90697 1,529 1,194 $5K
0071A 92 47 $4K
99051 873 861 $4K
97802 444 416 $4K
90710 650 475 $4K
96150 348 342 $4K
92551 982 729 $4K
81003 8,929 6,948 $3K
0004A 66 40 $3K
99401 194 192 $3K
90658 256 256 $3K
90707 383 339 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 65 54 $3K
90700 401 358 $3K
90716 362 295 $3K
90734 552 290 $2K
99381 56 43 $2K
90649 545 109 $2K
90648 298 268 $2K
90696 320 270 $2K
99385 12 12 $2K
85999 500 499 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 123 114 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
90619 89 72 $1K
99243 61 41 $1K
90685 112 105 $1K
H2015 Comprehensive community support services, per 15 minutes 89 68 $1K
H2000 Comprehensive multidisciplinary evaluation 60 57 $925.10
96158 318 208 $884.37
97803 293 273 $783.14
81025 757 721 $751.33
99442 69 61 $659.74
96127 595 332 $626.20
90662 131 131 $574.38
90472 Immunization administration, each additional vaccine (list separately) 956 868 $551.96
H1003 Prenatal care, at-risk enhanced service; education 44 41 $529.83
99173 623 594 $379.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 52 46 $353.43
90672 118 117 $288.00
G0008 Administration of influenza virus vaccine 138 138 $281.46
99443 16 14 $185.28
H2027 Psychoeducational service, per 15 minutes 16 14 $149.46
99234 195 180 $68.20
96152 32 25 $60.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes 115 114 $31.25
90620 43 38 $9.00
Z1034 4,285 3,287 $0.00
3074F 2,071 1,996 $0.00
Z6410 691 563 $0.00
Z1032 190 190 $0.00
Z6406 12 12 $0.00
96161 443 404 $0.00
Z6402 37 37 $0.00
3075F 45 40 $0.00
Z1038 26 26 $0.00
99205 Prolong outpt/office vis 15 14 $0.00
99283 Emergency department visit for the evaluation and management, moderate severity 29 28 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22 22 $0.00
81001 14 14 $0.00
0270 22 19 $0.00
80053 Comprehensive metabolic panel 24 23 $0.00
Z6204 13 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,094 1,027 $0.00
90461 759 724 $0.00
Z6302 87 87 $0.00
3078F 3,246 3,094 $0.00
96160 1,456 1,442 $0.00
3077F 47 45 $0.00
Z6400 15 15 $0.00
Z6304 28 28 $0.00
Z6200 37 37 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $0.00
Z6208 14 14 $0.00
Z6414 14 14 $0.00
Z6300 37 37 $0.00
96159 29 17 $0.00
0521 94 73 $0.00
Z6308 14 14 $0.00