Medicaid Provider Spending

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

MID-VALLEY PULMONARY MEDICAL GROUP, INC.

NPI: 1689688335 · SHERMAN OAKS, CA 91403 · Pulmonary Disease Physician · NPI assigned 07/28/2006

$6.07M
Total Medicaid Paid
227,313
Total Claims
68,143
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPELEG, NECHEMIA (CFO, VP)
NPI Enumeration Date07/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,521 $653K
2019 40,129 $952K
2020 33,150 $998K
2021 32,412 $1.06M
2022 29,181 $929K
2023 27,146 $863K
2024 25,774 $622K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 117,325 16,757 $2.58M
99232 Subsequent hospital care, per day, moderate complexity 55,758 12,726 $1.37M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12,395 3,143 $1.07M
99223 Prolong inpt eval add15 m 7,835 7,490 $522K
99215 Prolong outpt/office vis 1,923 1,885 $164K
99233 Prolong inpt eval add15 m 4,308 1,736 $108K
99205 Prolong outpt/office vis 655 655 $72K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,869 8,630 $49K
94060 937 936 $30K
94729 950 949 $22K
94726 952 951 $21K
99307 3,381 1,440 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,392 477 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 533 507 $13K
99255 159 156 $12K
94618 333 332 $6K
1036F 2,864 2,811 $0.02
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,909 2,857 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,310 2,271 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 368 362 $0.01
G9744 Patient not eligible due to active diagnosis of hypertension 72 37 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 550 541 $0.00
G9695 Long-acting inhaled bronchodilator prescribed 14 13 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 421 418 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 51 50 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 49 13 $0.00