Medicaid Provider Spending

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

ERASTO GUTIERREZ MD INC

NPI: 1790324481 · POMONA, CA 91767 · Urgent Care Clinic/Center · NPI assigned 12/30/2019

$1.05M
Total Medicaid Paid
48,509
Total Claims
43,995
Beneficiaries
31
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTRINIDAD, ARCHIE (MANAGER)
Parent OrganizationERASTO GUTIERREZ MD INC
NPI Enumeration Date12/30/2019

Related Entities

Other providers sharing the same authorized official: TRINIDAD, ARCHIE

ProviderCityStateTotal Paid
3TITAN MEDICAL INC EL MONTE CA $134K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 281 $7K
2021 6,824 $135K
2022 12,275 $256K
2023 14,635 $346K
2024 14,494 $301K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,128 10,094 $483K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,719 15,000 $441K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 557 554 $22K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,695 1,655 $20K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,703 1,261 $18K
94760 4,032 3,641 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 549 497 $9K
99401 3,750 3,523 $8K
99205 Prolong outpt/office vis 102 102 $6K
93000 323 321 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 578 578 $4K
J0696 Injection, ceftriaxone sodium, per 250 mg 998 628 $4K
99215 Prolong outpt/office vis 78 77 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 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 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 93 91 $705.41
99173 492 478 $582.73
J1885 Injection, ketorolac tromethamine, per 15 mg 104 98 $268.16
82962 188 186 $207.03
99051 150 141 $189.51
71046 Radiologic examination, chest; 2 views 14 13 $174.24
73630 16 16 $142.18
J2919 Injection, methylprednisolone sodium succinate, 5 mg 26 26 $85.52
73610 13 12 $75.17
J2405 Injection, ondansetron hydrochloride, per 1 mg 16 14 $29.69
81002 13 13 $17.08
A6260 Wound cleansers, any type, any size 44 38 $15.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 32 31 $1.68