COMMUNITY MEMORIAL HEALTH SYSTEM
NPI: 1689612798
· SANTA PAULA, CA 93060
· 261QU0200X
$14.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,361 |
$179K |
| 2019 |
6,277 |
$241K |
| 2020 |
39,558 |
$2.20M |
| 2021 |
48,871 |
$2.84M |
| 2022 |
53,270 |
$2.92M |
| 2023 |
54,240 |
$3.04M |
| 2024 |
42,742 |
$2.73M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
66,935 |
64,339 |
$10.72M |
| 99203 |
|
34,399 |
30,282 |
$997K |
| 99214 |
|
43,499 |
25,481 |
$849K |
| 99213 |
|
56,602 |
33,303 |
$555K |
| 90792 |
|
3,541 |
2,180 |
$259K |
| 99212 |
|
13,311 |
7,254 |
$176K |
| 0761 |
|
6,529 |
5,626 |
$165K |
| 0760 |
|
2,896 |
2,649 |
$122K |
| 0510 |
|
2,566 |
2,287 |
$74K |
| 87428 |
|
1,419 |
822 |
$57K |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,477 |
1,374 |
$38K |
| 96372 |
|
1,453 |
1,359 |
$34K |
| 20610 |
|
776 |
376 |
$20K |
| 99202 |
|
801 |
436 |
$16K |
| 99204 |
|
276 |
160 |
$11K |
| 87804 |
|
1,531 |
409 |
$8K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
427 |
427 |
$7K |
| 71046 |
|
359 |
357 |
$7K |
| 90791 |
|
83 |
37 |
$5K |
| 73564 |
|
191 |
184 |
$5K |
| 87880 |
|
1,005 |
515 |
$4K |
| 99442 |
|
844 |
439 |
$4K |
| 99394 |
|
110 |
57 |
$3K |
| 90686 |
|
253 |
160 |
$3K |
| 87426 |
|
131 |
68 |
$3K |
| 99215 |
Prolong outpt/office vis |
91 |
76 |
$2K |
| 99393 |
|
54 |
29 |
$1K |
| 90750 |
|
19 |
12 |
$1K |
| 99244 |
|
23 |
12 |
$1K |
| 99243 |
|
24 |
14 |
$966.94 |
| A4649 |
Surgical supplies |
73 |
72 |
$913.82 |
| J1030 |
Methylprednisolone 40 mg inj |
457 |
277 |
$803.45 |
| 99441 |
|
599 |
347 |
$724.00 |
| J3301 |
Triamcinolone acet inj nos |
83 |
32 |
$669.72 |
| 81003 |
|
534 |
316 |
$667.36 |
| 92551 |
|
261 |
135 |
$398.99 |
| G8510 |
Scr dep neg, no plan reqd |
55 |
31 |
$372.36 |
| 90715 |
|
64 |
32 |
$306.00 |
| 73630 |
|
12 |
12 |
$293.02 |
| 90651 |
|
58 |
29 |
$279.00 |
| 73610 |
|
12 |
12 |
$242.22 |
| 94640 |
|
30 |
12 |
$176.74 |
| 90734 |
|
35 |
18 |
$162.00 |
| 99211 |
|
23 |
13 |
$147.00 |
| J1885 |
Ketorolac tromethamine inj |
37 |
30 |
$117.28 |
| 85018 |
|
531 |
280 |
$116.82 |
| J1040 |
Methylprednisolone 80 mg inj |
37 |
19 |
$80.75 |
| 90471 |
|
236 |
134 |
$32.11 |
| H0049 |
Alcohol/drug screening |
25 |
14 |
$0.11 |
| 99173 |
|
215 |
215 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
15 |
13 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
3,277 |
3,051 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |
| 99070 |
|
12 |
12 |
$0.00 |