ERASTO GUTIERREZ MD INC
NPI: 1790324481
· POMONA, CA 91767
· 261QU0200X
$1.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
281 |
$7K |
| 2021 |
6,824 |
$135K |
| 2022 |
12,275 |
$256K |
| 2023 |
14,635 |
$346K |
| 2024 |
14,494 |
$301K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
10,128 |
10,094 |
$483K |
| 99214 |
|
17,719 |
15,000 |
$441K |
| 99203 |
|
557 |
554 |
$22K |
| G2023 |
Specimen collect covid-19 |
1,695 |
1,655 |
$20K |
| 96372 |
|
1,703 |
1,261 |
$18K |
| 94760 |
|
4,032 |
3,641 |
$11K |
| 99213 |
|
549 |
497 |
$9K |
| 99401 |
|
3,750 |
3,523 |
$8K |
| 99205 |
Prolong outpt/office vis |
102 |
102 |
$6K |
| 93000 |
|
323 |
321 |
$5K |
| 87804 |
|
578 |
578 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
998 |
628 |
$4K |
| 99215 |
Prolong outpt/office vis |
78 |
77 |
$3K |
| 87880 |
|
874 |
864 |
$3K |
| 81003 |
|
2,197 |
2,114 |
$3K |
| 81025 |
|
1,207 |
1,167 |
$2K |
| 99000 |
|
633 |
619 |
$976.95 |
| 99072 |
|
185 |
143 |
$747.38 |
| 94640 |
|
93 |
91 |
$705.41 |
| 99173 |
|
492 |
478 |
$582.73 |
| J1885 |
Ketorolac tromethamine inj |
104 |
98 |
$268.16 |
| 82962 |
|
188 |
186 |
$207.03 |
| 99051 |
|
150 |
141 |
$189.51 |
| 71046 |
|
14 |
13 |
$174.24 |
| 73630 |
|
16 |
16 |
$142.18 |
| J2919 |
Inj, methylpred sod succ 5mg |
26 |
26 |
$85.52 |
| 73610 |
|
13 |
12 |
$75.17 |
| J2405 |
Ondansetron hcl injection |
16 |
14 |
$29.69 |
| 81002 |
|
13 |
13 |
$17.08 |
| A6260 |
Wound cleanser any type/size |
44 |
38 |
$15.00 |
| J7644 |
Ipratropium bromide non-comp |
32 |
31 |
$1.68 |