Medicaid Provider Spending

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

CARE1ST HEALTH PLAN

NPI: 1649423856 · MONTEREY PARK, CA 91755 · Health Maintenance Organization · NPI assigned 10/31/2008

$12.34M
Total Medicaid Paid
67,732
Total Claims
35,378
Beneficiaries
42
Codes Billed
2018-11
First Month
2021-12
Last Month

Provider Details

Authorized OfficialJONES, BROOKS (COMPLIANCE OFFICER)
NPI Enumeration Date10/31/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 237 $18K
2019 10,358 $1.64M
2020 23,157 $5.44M
2021 33,980 $5.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9008 Coordinated care fee, physician coordinated care oversight services 47,447 15,668 $11.13M
99442 5,676 5,406 $439K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,951 1,873 $217K
99441 1,312 1,269 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 711 700 $59K
97802 1,886 1,819 $58K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 300 299 $45K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 188 188 $33K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 263 263 $33K
99058 170 169 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 170 170 $26K
99443 215 206 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 181 181 $17K
81003 1,739 1,704 $15K
90710 87 87 $14K
90649 83 83 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 68 68 $13K
85018 812 810 $12K
92551 479 477 $12K
90670 321 321 $12K
90734 80 80 $11K
81025 835 827 $11K
90686 343 343 $10K
99173 725 725 $7K
90647 263 263 $7K
99381 44 44 $7K
90723 190 190 $5K
82948 386 338 $5K
90633 128 128 $5K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 166 166 $4K
90680 123 123 $3K
90700 89 89 $3K
90715 31 31 $1K
90658 25 25 $925.00
93000 40 40 $692.80
90696 12 12 $629.86
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 58 58 $0.13
3078F 37 37 $0.12
3725F 33 33 $0.11
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 14 $0.05
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 27 27 $0.05
3074F 24 24 $0.00