PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI: 1689875601
· MISSION HILLS, CA 91345
· 207P00000X
$125K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$887.56 |
| 2019 |
156 |
$7K |
| 2020 |
456 |
$25K |
| 2021 |
281 |
$16K |
| 2022 |
271 |
$20K |
| 2023 |
409 |
$39K |
| 2024 |
325 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99291 |
|
710 |
375 |
$76K |
| 99233 |
Prolong inpt eval add15 m |
602 |
143 |
$24K |
| 99223 |
Prolong inpt eval add15 m |
147 |
144 |
$11K |
| 99232 |
|
287 |
103 |
$8K |
| 0450 |
|
135 |
123 |
$5K |
| 93306 |
|
13 |
13 |
$729.43 |
| 93308 |
|
12 |
12 |
$256.68 |
| 76604 |
|
12 |
12 |
$162.71 |
| 99281 |
|
24 |
24 |
$0.00 |