OLIVE MEDICAL ASSOCIATES PC

NPI: 1831621127 · BURBANK, CA 91502 · Internal Medicine Physician · NPI assigned 03/28/2017

$6K

Total Medicaid Paid

1,122

Total Claims

1,121

Beneficiaries

Codes Billed

2018-01

First Month

2018-06

Last Month

Provider Details

Authorized Official	MARSH, ALVA (CEO)
NPI Enumeration Date	03/28/2017

Other providers sharing the same authorized official: MARSH, ALVA

Provider	City	State	Total Paid
EVERCARE MEDICAL GROUP, INC	HESPERIA	CA	$45K
MONA LISA MEDICAL GROUP, INC	VAN NUYS	CA	$11K
INFINITI MEDICAL GROUP INC	VAN NUYS	CA	$183.51

Year	Claims	Total Paid
2018	1,122	$6K

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	64	64	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	305	304	$1K
93886		43	43	$1K
93880		109	109	$971.12
93000		105	105	$438.44
76881		63	63	$378.17
93970		73	73	$302.85
11721		139	139	$89.46
94060		68	68	$0.00
93925		73	73	$0.00
36415	Collection of venous blood by venipuncture	68	68	$0.00
93922		12	12	$0.00