SURPRISE VALLEY HEALTH CARE DISTRICT
NPI: 1801973052
· CEDARVILLE, CA 96104
· Emergency Care Clinic/Center
· NPI assigned 11/01/2006
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | GROVE, WANDA (ADMINISTRATOR) |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: GROVE, WANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
105 |
$2K |
| 2019 |
477 |
$21K |
| 2020 |
800 |
$46K |
| 2021 |
924 |
$47K |
| 2022 |
1,535 |
$77K |
| 2023 |
318 |
$23K |
| 2024 |
135 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,342 |
977 |
$120K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,562 |
487 |
$55K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
222 |
188 |
$43K |
| 80053 |
Comprehensive metabolic panel |
77 |
70 |
$161.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
91 |
83 |
$141.86 |