Medicaid Provider Spending

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

VALLEY HEART ASSOCIATES MEDICAL GROUP INC

NPI: 1689614562 · MODESTO, CA 95350 · Cardiovascular Disease Physician

$4.16M
Total Medicaid Paid
116,281
Total Claims
104,856
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,953 $651K
2019 17,646 $613K
2020 15,073 $512K
2021 14,152 $490K
2022 14,719 $550K
2023 19,505 $688K
2024 17,233 $654K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 39,817 38,481 $1.36M
93306 27,414 27,288 $1.35M
99232 10,746 3,202 $323K
78452 4,646 4,619 $215K
99223 Prolong inpt eval add15 m 1,664 1,650 $114K
99233 Prolong inpt eval add15 m 3,088 1,311 $108K
93016 5,372 5,335 $107K
99215 Prolong outpt/office vis 2,141 2,047 $106K
93018 5,157 5,119 $95K
93880 2,220 2,217 $61K
99204 875 872 $61K
93010 4,711 4,389 $54K
93297 3,527 3,517 $47K
99205 Prolong outpt/office vis 490 490 $41K
99244 373 373 $33K
93295 1,088 1,082 $32K
93294 798 791 $14K
99213 506 498 $10K
93000 267 259 $6K
99245 49 49 $5K
99152 197 173 $4K
93280 191 189 $4K
99222 51 51 $3K
93458 12 12 $3K
93296 179 179 $3K
99255 25 25 $2K
93227 67 67 $1K
99153 Mod sedat endo service >5yrs 101 84 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 165 143 $1K
93244 45 45 $693.00
94618 25 25 $340.60
93290 14 14 $124.66
G9920 Screening performed and negative 21 21 $0.00
99393 13 13 $0.00
99173 18 18 $0.00
99394 14 14 $0.00
99401 19 19 $0.00
96110 62 62 $0.00
92551 22 22 $0.00
96156 66 66 $0.00
97802 25 25 $0.00