Medicaid Provider Spending

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

ANGEL FULLERTON MEDICAL GROUP

NPI: 1689271389 · FULLERTON, CA 92833 · Primary Care Clinic/Center · NPI assigned 10/06/2020

$64K
Total Medicaid Paid
1,213
Total Claims
1,118
Beneficiaries
11
Codes Billed
2023-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCANCHOLA, GERARDO (MEDICAL DIRECTOR)
NPI Enumeration Date10/06/2020

Related Entities

Other providers sharing the same authorized official: CANCHOLA, GERARDO

ProviderCityStateTotal Paid
GERARDO CANCHOLA MD, INC. SANTA ANA CA $259K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 65 $3K
2024 1,148 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 290 253 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 248 215 $16K
99215 Prolong outpt/office vis 77 77 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 44 $6K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 215 200 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 55 53 $5K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 114 112 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $1K
96127 114 113 $669.60
97802 13 12 $151.75
81002 30 26 $63.56