Medicaid Provider Spending

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

JERATH, VANDANA

NPI: 1770875676 · LOMA LINDA, CA 92354 · Pediatrics Physician · NPI assigned 05/10/2011

$34K
Total Medicaid Paid
1,686
Total Claims
1,572
Beneficiaries
12
Codes Billed
2022-10
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 235 $6K
2023 1,451 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 308 293 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 312 234 $8K
99381 134 134 $8K
90723 136 136 $1K
90670 129 129 $918.00
90647 81 81 $729.00
90681 67 67 $603.00
88720 124 103 $588.80
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 14 $469.97
90460 Immunization administration through 18 years of age via any route, first or only component 141 141 $0.00
90461 125 125 $0.00
96161 115 115 $0.00