Medicaid Provider Spending

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

LOS BANOS MEDICAL GROUP A MEDICAL CORPORATION

NPI: 1801961925 · LOS BANOS, CA 93635 · Family Medicine Physician · NPI assigned 11/22/2006

$1K
Total Medicaid Paid
86
Total Claims
77
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialMEVI, JASON (PRESIDENT)
NPI Enumeration Date11/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $431.94
2019 30 $384.00
2020 12 $365.21

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62 53 $718.23
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24 24 $462.92