Medicaid Provider Spending

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

CLINICA MEDICA PACOIMA

NPI: 1649038985 · PACOIMA, CA 91331 · Radiology Clinic/Center · NPI assigned 03/11/2024

$6K
Total Medicaid Paid
412
Total Claims
412
Beneficiaries
10
Codes Billed
2024-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRUEHM, STEFAN (PRESIDENT)
NPI Enumeration Date03/11/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 412 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 74 74 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 29 29 $1K
76706 61 61 $712.80
99497 56 56 $428.13
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 57 57 $421.91
96130 12 12 $354.62
93922 37 37 $350.58
93000 46 46 $163.13
99406 27 27 $48.57
92540 13 13 $0.00