HANDOKO, JONARDI
NPI: 1780664581
· UPLAND, CA 91786
· Internal Medicine Physician
· NPI assigned 01/18/2006
$480K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
572 |
$72K |
| 2019 |
593 |
$78K |
| 2020 |
499 |
$73K |
| 2021 |
429 |
$67K |
| 2022 |
420 |
$52K |
| 2023 |
582 |
$60K |
| 2024 |
524 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
3,084 |
3,055 |
$452K |
| 90961 |
|
207 |
205 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
281 |
$6K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
35 |
12 |
$425.58 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$372.62 |