Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Antioch › NPI 1780107797
Clinic

Epic Care

Epic Care was paid $17.79M by Medicaid between Feb 2018 and Dec 2024, across 87 billing codes. Its largest line is 78815, Positron emission tomography (PET) for limited area imaging — 19% of everything it billed.

33Billing provider infoEPIC CARE
ANTIOCH, CA 94531
33aNPI1780107797assigned 07/21/2017
28Total paid$17.79M
24GClaims237,475
24DCodes billed87
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in California

Rank by total paid#8 of 170
Median peer was paid$145K
This provider vs. median123×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201816,333$500K
201925,109$1.15M
202025,914$1.97M
202136,498$2.47M
202236,987$2.53M
202347,449$4.18M
2024incomplete49,185$4.99M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
78815 Positron emission tomography (PET) for limited area imaging 19% 3,081 2,378 $3.43M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18% 54,841 51,331 $3.12M
J0897 Injection, denosumab, 1 mg 6.3% 776 755 $1.11M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 5.5% 12,214 4,464 $982K
77014 4.5% 8,746 1,666 $799K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.4% 8,836 7,618 $781K
J1453 Injection, fosaprepitant, 1 mg 4.4% 1,811 1,193 $776K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 16,709 16,242 $714K
J9271 Injection, pembrolizumab, 1 mg 3.7% 160 124 $655K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3.2% 10,390 6,472 $572K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 2.3% 1,880 1,057 $401K
99223 Prolong inpt eval add15 m 2.2% 2,752 2,693 $384K
75 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 2,097 $321K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session 1.7% 1,116 $302K
99205 Prolong outpt/office vis 1.5% 2,814 $273K
99232 Hospital visit by a doctor, follow-up day 1.5% 4,897 $273K
99204 Doctor's office visit, new patient (more involved) 1.5% 4,113 $268K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1.3% 1,907 $231K
J2469 Injection, palonosetron hcl, 25 mcg 1.1% 4,408 $201K
96367 <1% 8,098 $177K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 2,122 $175K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 28,994 $169K
99203 Doctor's office visit, new patient (routine) <1% 1,856 $165K
77427 <1% 958 $134K
77336 <1% 1,592 $132K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 18,781 $123K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,339 $120K
77334 <1% 540 $108K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 64 $105K
77280 <1% 341 $72K
77300 <1% 599 $69K
J0641 Injection, levoleucovorin, not otherwise specified, 0.5 mg <1% 23 $58K
J1437 Injection, ferric derisomaltose, 10 mg <1% 26 $52K
77049 <1% 262 $51K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,739 $48K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 217 $47K
G6012 Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev <1% 181 $42K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 508 $35K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) <1% 119 $30K
96368 <1% 4,213 $30K
96417 <1% 1,310 $30K
99497 <1% 470 $30K
G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev <1% 137 $24K
31231 <1% 106 $23K
J0185 Injection, aprepitant, 1 mg <1% 37 $22K
76642 <1% 264 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,023 $10K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,630 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 257 $10K
96523 <1% 862 $10K
31575 <1% 66 $9K
80053 Comprehensive metabolic panel <1% 920 $7K
95251 <1% 708 $6K
A9585 Injection, gadobutrol, 0.1 ml <1% 652 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 961 $4K
96415 <1% 164 $4K
99443 <1% 145 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 205 $4K
96361 Intravenous infusion, hydration; each additional hour <1% 381 $4K
82728 <1% 150 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 $2K
93000 <1% 125 $2K
J9190 Injection, fluorouracil, 500 mg <1% 48 $2K
96411 <1% 39 $2K
47562 <1% 12 $2K
83615 <1% 305 $1K
77263 <1% 16 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 18 $1K
71250 <1% 43 $1K
69210 <1% 26 $1K
84550 <1% 270 $961.56
J3489 Injection, zoledronic acid, 1 mg <1% 25 $910.33
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 361 $848.22
92552 <1% 52 $839.01
99354 <1% 12 $596.64
85018 <1% 450 $506.48
82948 <1% 308 $342.77
83540 <1% 43 $298.34
83735 <1% 31 $202.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 35 $142.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 28 $125.86
96375 Therapeutic injection; each additional sequential IV push <1% 18 $117.95
J3490 Unclassified drugs <1% 88 $109.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 $73.59
81000 <1% 15 $58.05
96402 <1% 12 $48.98
36415 Collection of venous blood by venipuncture <1% 501 $39.60

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPATEL, BIMAL (PRESIDENT)