Medicaid Provider Spending

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

PINNACLE PRIMARY CARE INC

NPI: 1619244688 · BAKERSFIELD, CA 93313 · Neurological Surgery Physician · NPI assigned 11/18/2011

$5.95M
Total Medicaid Paid
181,350
Total Claims
164,736
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJUMAO-AS, ASELA (SHAREHOLDER)
NPI Enumeration Date11/18/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,064 $499K
2019 18,598 $717K
2020 19,185 $677K
2021 26,767 $854K
2022 27,455 $845K
2023 31,492 $824K
2024 42,789 $1.53M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61,579 49,957 $2.53M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,013 20,622 $1.08M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,226 4,220 $513K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,338 3,336 $408K
99497 4,271 4,266 $341K
G9920 Screening performed and negative 5,856 5,841 $195K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 7,791 7,778 $152K
99406 9,125 9,099 $112K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 996 967 $92K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,051 1,048 $83K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 866 860 $67K
92551 4,338 4,295 $55K
99215 Prolong outpt/office vis 1,185 1,035 $42K
99385 284 284 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 479 470 $28K
G0444 Annual depression screening, 5 to 15 minutes 1,515 1,508 $26K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 985 934 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,296 1,130 $23K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,265 1,259 $21K
99173 3,706 3,691 $16K
85018 9,630 9,474 $15K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 311 297 $14K
81003 8,810 8,625 $13K
86580 2,434 2,422 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 225 218 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 119 119 $5K
99386 36 36 $5K
85014 2,198 2,167 $4K
G9919 Screening performed and positive and provision of recommendations 84 84 $3K
90649 168 165 $3K
99442 71 70 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 379 319 $2K
99383 28 28 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 27 27 $2K
90686 147 147 $2K
99441 41 40 $2K
82962 548 516 $1K
99384 14 14 $1K
90658 89 89 $1K
90734 89 89 $977.05
92081 35 24 $973.71
94664 60 60 $970.20
81025 263 255 $732.14
J1885 Injection, ketorolac tromethamine, per 15 mg 97 88 $533.15
90715 43 43 $495.64
90700 46 46 $407.25
3074F 6,848 6,124 $291.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 29 28 $184.12
90716 14 14 $181.80
3078F 6,026 5,456 $178.05
90707 14 14 $135.00
3079F 1,982 1,866 $92.92
3075F 861 831 $69.01
1160F 27 25 $24.29
1159F 27 25 $24.18
3077F 490 469 $24.00
3044F 1,417 1,373 $15.76
3080F 211 202 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 19 19 $0.00
88141 47 47 $0.00
3008F 30 30 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 40 40 $0.00
3051F 31 31 $0.00
81002 32 32 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 48 48 $0.00