ARTA WESTERN CALIFORNIA, INC.

NPI: 1770799629 · IRVINE, CA 92612 · Health Maintenance Organization · NPI assigned 05/15/2007

$31K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2023-06

First Month

2023-09

Last Month

Provider Details

Authorized Official	LIETHEN, JOHN (SECRETARY)
NPI Enumeration Date	05/15/2007

Other providers sharing the same authorized official: LIETHEN, JOHN

Provider	City	State	Total Paid
HEALTHCARE PARTNERS ASC-HB, LLC	HUNTINGTON BEACH	CA	$4.05M
TALBERT MEDICAL GROUP, P.C.	FOUNTAIN VALLEY	CA	$4.00M
DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.	ANAHEIM	CA	$3.74M
TALBERT MEDICAL GROUP, P.C.	HUNTINGTON BEACH	CA	$3.73M
OPTUMCARE NEW MEXICO, LLC	ALBUQUERQUE	NM	$241K
OPTUMCARE COLORADO ASC, LLC	COLORADO SPRINGS	CO	$87K
TALBERT MEDICAL GROUP, P.C.	SANTA ANA	CA	$10K
OPTUMCARE ENDOSCOPY CENTER NEW MEXICO, LLC	ALBUQUERQUE	NM	$9K
TALBERT MEDICAL GROUP, P.C.	COMPTON	CA	$1K

Year	Claims	Total Paid
2023	57	$31K

Code	Description	Claims	Beneficiaries	Total Paid
G9012	Other specified case management service not elsewhere classified	40	40	$22K
G9008	Coordinated care fee, physician coordinated care oversight services	17	17	$9K