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POMONA HEALTHCARE & WELLNESS CENTER, LLC
POMONA HEALTHCARE & WELLNESS CENTER, LLC
NPI: 1811168727
· POMONA, CA 91768
· 314000000X
$2.54M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,942 |
$181K |
| 2019 |
14,026 |
$350K |
| 2020 |
15,096 |
$413K |
| 2021 |
17,875 |
$481K |
| 2022 |
19,170 |
$945K |
| 2023 |
1,811 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
25,267 |
1,473 |
$1.00M |
| 97110 |
|
14,590 |
1,443 |
$651K |
| 97112 |
|
12,121 |
1,408 |
$381K |
| 97535 |
|
7,495 |
866 |
$260K |
| 97116 |
|
5,369 |
555 |
$169K |
| 97763 |
|
459 |
53 |
$21K |
| A4217 |
Sterile water/saline, 500 ml |
1,653 |
133 |
$20K |
| 97140 |
|
230 |
25 |
$11K |
| A6222 |
Gauze <=16 in no w/sal w/o b |
3,235 |
133 |
$6K |
| 97542 |
|
118 |
12 |
$4K |
| A6266 |
Impreg gauze no h20/sal/yard |
1,856 |
69 |
$3K |
| 97166 |
|
45 |
44 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
1,258 |
55 |
$1K |
| 97162 |
|
32 |
31 |
$1K |
| 90662 |
|
13 |
13 |
$308.16 |
| G8979 |
Mobility goal status |
61 |
29 |
$131.55 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$126.29 |
| G8988 |
Self care goal status |
66 |
37 |
$114.45 |
| G8978 |
Mobility current status |
25 |
16 |
$105.83 |
| G8987 |
Self care current status |
15 |
12 |
$34.86 |