Medicaid Provider Spending

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

ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION

NPI: 1801253323 · SACRAMENTO, CA 95825 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/28/2016

$608K
Total Medicaid Paid
94,668
Total Claims
40,289
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSOUZA, JEFF (PRESIDENT)
NPI Enumeration Date01/28/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,534 $155K
2019 9,812 $12K
2020 14,776 $26K
2021 17,725 $17K
2022 20,621 $150K
2023 21,161 $157K
2024 8,039 $90K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,489 8,520 $222K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 12,560 5,128 $134K
11043 8,437 3,108 $101K
S5110 Home care training, family; per 15 minutes 20,292 7,813 $84K
29581 6,017 1,905 $32K
11045 2,266 876 $15K
99245 872 864 $6K
97597 2,880 1,195 $5K
11046 708 260 $2K
99199 Unlisted special service, procedure or report 7,351 2,950 $2K
99215 Prolong outpt/office vis 263 84 $2K
94760 1,120 613 $1K
29580 1,025 229 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 430 243 $459.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 163 97 $306.64
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20 16 $86.40
97535 Self-care/home management training, each 15 minutes 227 111 $42.84
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 964 933 $12.00
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 1,067 1,025 $4.77
97139 119 43 $1.00
99499 1,679 571 $0.00
A6248 Hydrogel dressing, wound filler, gel, per fluid ounce 266 260 $0.00
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 226 219 $0.00
A6210 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 652 625 $0.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 545 531 $0.00
99072 1,284 443 $0.00
A6266 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard 323 304 $0.00
A6457 Tubular dressing with or without elastic, any width, per linear yard 28 27 $0.00
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 36 33 $0.00
S5111 Home care training, family; per session 68 37 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 14 $0.00
A4450 Tape, non-waterproof, per 18 square inches 165 163 $0.00
A5120 Skin barrier, wipes or swabs, each 87 81 $0.00
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 742 714 $0.00
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard 25 25 $0.00
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 88 82 $0.00
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 28 26 $0.00
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 73 68 $0.00
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 41 41 $0.00
S5100 Day care services, adult; per 15 minutes 24 12 $0.00