Medicaid Provider Spending

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

SAN MICHAEL PEDIATRICS INC

NPI: 1821292012 · BAKERSFIELD, CA 93308 · Primary Care Clinic/Center · NPI assigned 06/12/2007

$6.46M
Total Medicaid Paid
216,469
Total Claims
190,762
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAFIC, EMAD (OFFICER)
NPI Enumeration Date06/12/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,355 $597K
2019 30,354 $729K
2020 27,349 $672K
2021 32,661 $873K
2022 34,010 $940K
2023 31,962 $902K
2024 34,778 $1.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74,564 50,491 $3.24M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,935 6,896 $421K
G9920 Screening performed and negative 10,864 10,801 $381K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,368 6,316 $357K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,154 4,137 $316K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,008 3,846 $204K
99188 9,323 9,228 $189K
92551 14,506 14,410 $177K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,437 2,414 $171K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,527 3,256 $140K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,687 1,664 $134K
90649 469 467 $88K
99173 14,423 14,339 $65K
90686 5,128 5,089 $52K
90700 4,230 4,195 $46K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,636 2,507 $39K
90670 3,156 3,116 $34K
90713 3,140 3,110 $34K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 961 959 $32K
85018 14,582 14,495 $27K
90648 2,436 2,409 $27K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,003 1,995 $26K
D1206 Topical application of fluoride varnish 1,137 1,122 $25K
90716 2,164 2,147 $23K
90633 2,055 2,036 $22K
90707 2,046 2,037 $22K
90744 1,849 1,811 $20K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 639 623 $20K
90680 1,678 1,644 $18K
90651 1,670 1,660 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 309 303 $12K
90621 606 605 $11K
90715 1,033 1,030 $11K
90734 989 983 $10K
90619 737 733 $8K
99381 83 81 $8K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,539 1,538 $5K
90698 458 437 $5K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 2,484 2,403 $4K
90677 329 324 $4K
99383 25 25 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $3K
83655 241 234 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 204 203 $1K
97802 1,413 1,412 $1K
G9919 Screening performed and positive and provision of recommendations 38 38 $1K
99442 36 34 $1K
90658 108 108 $1K
90660 116 116 $1K
J7612 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg 107 106 $727.94
90657 45 45 $555.72
90655 42 42 $472.50
86580 70 67 $235.20
90647 16 16 $168.75
4004F 277 277 $156.78
81001 74 67 $156.64
90710 12 12 $56.25
0001A 13 13 $0.00
3008F 249 249 $0.00
0002A 16 16 $0.00