Medicaid Provider Spending

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

PACIFIC VALLEY MEDICAL GROUP

NPI: 1851312862 · PASADENA, CA 91105 · 207L00000X

$171K
Total Medicaid Paid
3,705
Total Claims
3,453
Beneficiaries
14
Codes Billed
2018-05
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 444 $11K
2019 679 $21K
2020 292 $8K
2021 433 $8K
2022 859 $46K
2023 216 $19K
2024 782 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
01967 217 179 $66K
00142 947 878 $49K
00731 860 818 $34K
76942 856 800 $6K
36620 500 477 $5K
00790 13 13 $3K
00670 13 12 $3K
00812 57 44 $2K
64415 39 38 $886.02
00813 49 48 $758.20
00811 43 43 $667.05
00840 12 12 $616.33
76937 87 79 $317.46
64447 12 12 $176.30