Medicaid Provider Spending

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

PATEL, SAPNA

NPI: 1790973204 · POMONA, CA 91767 · Pediatrics Physician · NPI assigned 10/10/2007

$1.59M
Total Medicaid Paid
58,371
Total Claims
55,162
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,499 $25K
2019 7,892 $220K
2020 8,772 $252K
2021 11,297 $332K
2022 14,489 $400K
2023 13,111 $328K
2024 1,311 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,744 9,665 $433K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,818 13,400 $381K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,263 4,242 $157K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,040 3,921 $138K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,186 2,166 $94K
99238 Hospital discharge day management, 30 minutes or less 1,598 1,592 $63K
99223 Prolong inpt eval add15 m 610 607 $52K
92551 3,038 3,029 $33K
99222 Initial hospital care, per day, moderate complexity 424 424 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 546 543 $29K
90648 2,794 2,777 $25K
99233 Prolong inpt eval add15 m 490 369 $24K
90670 2,268 2,249 $22K
90723 1,760 1,751 $16K
90633 1,366 1,363 $12K
99232 Subsequent hospital care, per day, moderate complexity 250 205 $10K
90681 1,013 1,007 $9K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 485 485 $8K
90700 821 816 $7K
99381 164 164 $7K
90716 637 631 $6K
90707 615 612 $5K
90671 614 613 $5K
90686 487 487 $4K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 324 324 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 206 202 $3K
90710 243 241 $2K
90696 219 217 $2K
90651 132 132 $1K
99383 16 16 $868.48
90697 90 90 $801.90
90734 47 47 $418.77
90685 45 45 $402.48
96127 31 29 $138.04
99173 34 34 $118.40
90715 13 13 $115.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 99 40 $110.50
90713 12 12 $108.00
92081 12 12 $79.20
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes 37 37 $0.00
36415 Collection of venous blood by venipuncture 66 65 $0.00
85018 17 17 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 350 148 $0.00
90461 121 97 $0.00
99401 211 211 $0.00
83655 15 15 $0.00