Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC SURGICAL ASSOCIATES OF THE EAST BAY

NPI: 1619932209 · OAKLAND, CA 94609 · Pediatric Surgery Physician · NPI assigned 04/18/2006

$4K
Total Medicaid Paid
46
Total Claims
46
Beneficiaries
2
Codes Billed
2018-03
First Month
2018-06
Last Month

Provider Details

Authorized OfficialKIM, SUNGHOON (MANAGING PARTNER)
NPI Enumeration Date04/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 29 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 17 $1K