CLINICA MEDICA DEL VALLE, INC.

$1.58M

Total Medicaid Paid

73,700

Total Claims

56,114

Beneficiaries

49

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
95144		7,756	827	$1.39M
95004		798	797	$107K
95117		3,526	870	$32K
99213		24,429	20,356	$23K
92552		1,392	1,388	$12K
99204		1,386	1,374	$8K
99441		28	28	$1K
99395		465	465	$1K
99393		552	552	$523.41
99394		512	512	$282.84
99214		1,072	1,028	$256.17
86580		68	65	$195.07
99396		465	465	$119.68
99392		74	73	$114.76
81001		1,717	1,710	$102.46
85018		1,962	1,959	$91.98
99381		19	19	$60.00
99173		483	482	$41.74
92551		18	18	$15.84
G0444	Depression screen annual	522	521	$15.15
99499		8,595	7,734	$4.85
G8431	Pos clin depres scrn f/u doc	522	522	$2.97
G8510	Scr dep neg, no plan reqd	712	709	$1.98
3078F		59	55	$0.00
1159F		6,017	4,560	$0.00
1160F		6,013	4,561	$0.00
81002		241	239	$0.00
G0101	Ca screen;pelvic/breast exam	64	64	$0.00
3077F		138	129	$0.00
Q0091	Obtaining screen pap smear	24	24	$0.00
4004F		170	165	$0.00
99391		15	15	$0.00
90734		12	12	$0.00
1036F		1,963	1,948	$0.00
3017F		431	431	$0.00
90650		16	16	$0.00
H0049	Alcohol/drug screening	455	455	$0.00
3074F		78	74	$0.00
3080F		129	121	$0.00
G0439	Ppps, subseq visit	142	142	$0.00
3075F		53	49	$0.00
G0447	Behavior counsel obesity 15m	33	33	$0.00
1125F		219	208	$0.00
96372		13	13	$0.00
99000		29	29	$0.00
88141		12	12	$0.00
3044F		203	191	$0.00
90686		12	12	$0.00
3079F		86	82	$0.00

Medicaid Provider Spending