SAN JOAQUIN VALLEY NEONATAL MEDICAL ASSOCATION
NPI: 1619168952
· FRENCH CAMP, CA 95231
· Neonatal-Perinatal Medicine Physician
· NPI assigned 08/01/2007
$2.41M
Total Medicaid Paid
Provider Details
| Authorized Official | WALLACE, GINA (BILLING AGENT) |
| NPI Enumeration Date | 08/01/2007 |
Related Entities
Other providers sharing the same authorized official: WALLACE, GINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,858 |
$654K |
| 2019 |
3,609 |
$621K |
| 2020 |
1,888 |
$303K |
| 2021 |
2,594 |
$402K |
| 2022 |
2,425 |
$359K |
| 2023 |
542 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
4,758 |
1,221 |
$564K |
| Z0102 |
|
2,203 |
531 |
$429K |
| 99468 |
|
942 |
917 |
$338K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,252 |
281 |
$240K |
| Z0104 |
|
1,667 |
212 |
$229K |
| Z0100 |
|
503 |
489 |
$199K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,452 |
145 |
$192K |
| 99477 |
|
255 |
244 |
$87K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,179 |
1,161 |
$81K |
| Z0106 |
|
705 |
211 |
$54K |