Medicaid Provider Spending

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

PRIME PULMONARY & SLEEP MEDICINE CENTER, INC

NPI: 1629511886 · BAKERSFIELD, CA 93312 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 11/21/2016

$4.87M
Total Medicaid Paid
64,694
Total Claims
56,297
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVAGHASIA, PRAMIL (PRESIDENT)
NPI Enumeration Date11/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,082 $52K
2019 3,798 $341K
2020 10,143 $649K
2021 14,915 $997K
2022 12,720 $1.03M
2023 13,450 $960K
2024 8,586 $841K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,163 2,045 $735K
95811 1,799 1,795 $726K
99215 Prolong outpt/office vis 11,333 11,123 $682K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,213 1,211 $467K
94617 4,940 4,914 $444K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,641 6,589 $399K
99205 Prolong outpt/office vis 2,897 2,891 $270K
99233 Prolong inpt eval add15 m 5,686 1,939 $233K
94726 5,395 5,364 $233K
94729 5,499 5,474 $231K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,467 1,462 $148K
99223 Prolong inpt eval add15 m 1,435 1,404 $127K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,062 3,037 $101K
94664 5,736 5,688 $42K
99407 952 946 $19K
94060 248 239 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 33 $2K
94618 119 107 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 57 24 $1K
99232 Subsequent hospital care, per day, moderate complexity 19 12 $199.32