Medicaid Provider Spending

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

SAN JOAQUIN PRIME CARE MEDICAL GROUP INC.

NPI: 1710172721 · REEDLEY, CA 93654 · Family Medicine Physician · NPI assigned 09/12/2007

$720K
Total Medicaid Paid
19,386
Total Claims
13,157
Beneficiaries
14
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialBURGINS, KIMBERLY (BILLING SUPERVISOR)
NPI Enumeration Date09/12/2007

Related Entities

Other providers sharing the same authorized official: BURGINS, KIMBERLY

ProviderCityStateTotal Paid
SAN JOAQUIN PRIME CARE MEDICAL GROUP INC SQUAW VALLEY CA $269K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,543 $474K
2019 6,843 $246K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,306 7,979 $676K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,936 1,179 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,083 2,153 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 240 219 $1K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 284 280 $492.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 228 183 $274.88
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 65 61 $268.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 457 361 $155.01
99000 258 246 $111.95
81002 208 197 $38.97
36415 Collection of venous blood by venipuncture 99 95 $21.70
36410 186 172 $11.87
90688 18 16 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 16 $0.00