Medicaid Provider Spending

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

HERMAN SARDJONO MD MEDICAL CORP

NPI: 1700890167 · ARCADIA, CA 91007 · Internal Medicine Physician · NPI assigned 07/28/2006

$1K
Total Medicaid Paid
1,231
Total Claims
1,108
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialSARDJONO MD, HERMAN (PRESIDENT)
NPI Enumeration Date07/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 393 $306.00
2019 329 $137.84
2020 134 $74.33
2021 144 $352.00
2022 75 $62.90
2023 65 $88.56
2024 91 $160.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,093 972 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17 16 $70.60
90688 18 18 $17.84
99000 22 22 $6.54
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 17 16 $2.33
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15 15 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
36415 Collection of venous blood by venipuncture 21 21 $0.00
G0444 Annual depression screening, 5 to 15 minutes 15 15 $0.00