Medicaid Provider Spending

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

MEDIPACE BEVERLY HILLS PROFESSIONAL CORPORATION

NPI: 1639560501 · BEVERLY HILLS, CA 90211 · Nephrology Physician · NPI assigned 02/12/2015

$3K
Total Medicaid Paid
216
Total Claims
200
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-06
Last Month

Provider Details

Authorized OfficialGURA, VICTOR (OWNER)
NPI Enumeration Date02/12/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $1K
2019 56 $2K
2020 15 $289.76
2021 12 $307.92
2024 15 $57.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 139 123 $3K
99490 Ccm add 20min 26 26 $204.15
99215 Prolong outpt/office vis 15 15 $57.20
93000 12 12 $55.85
90674 12 12 $5.89
G0008 Administration of influenza virus vaccine 12 12 $0.00