Medicaid Provider Spending

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

MOWRY MEDICAL GROUP, INC.

NPI: 1700993219 · FREMONT, CA 94536 · Pain Medicine Physician · NPI assigned 08/23/2006

$126K
Total Medicaid Paid
4,196
Total Claims
4,002
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialSANDHU, AJIT (PRESIDENT AND CEO)
NPI Enumeration Date08/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 956 $23K
2019 966 $25K
2020 702 $21K
2021 600 $21K
2022 457 $16K
2023 388 $14K
2024 127 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,869 2,757 $98K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,194 1,113 $25K
90756 33 32 $1K
99245 27 27 $730.73
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $691.28
99244 Office or other outpatient consultation, moderate to high complexity 14 14 $378.51
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 47 $276.24