Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CORONA › SEQUOIA HEALTH IPA INC

SEQUOIA HEALTH IPA INC

NPI: 1851821565 · CORONA, CA 92881 · Health Maintenance Organization · NPI assigned 06/14/2017

$43.41M
Total Medicaid Paid
2,441,766
Total Claims
2,283,381
Beneficiaries
342
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKLAREN, JAY (SR DIRECTOR, PROGRAM DEV & PLANNING)
NPI Enumeration Date06/14/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 224,347 $3.31M
2019 359,327 $5.82M
2020 348,804 $5.37M
2021 315,248 $6.12M
2022 356,859 $7.61M
2023 419,322 $8.08M
2024 417,859 $7.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 622,466 574,660 $6.80M
59425 68,860 50,863 $5.64M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 200,279 189,905 $3.35M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 152,895 151,752 $2.53M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 242,930 222,480 $1.92M
90791 Psychiatric diagnostic evaluation 10,787 10,382 $1.62M
90832 Psychotherapy, 30 minutes with patient 24,867 23,277 $1.55M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 46,543 46,245 $1.14M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 32,264 32,211 $1.04M
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1,368 1,366 $1.03M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 30,435 29,942 $1.02M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15,599 15,564 $825K
99460 9,397 9,263 $647K
98940 22,722 15,673 $585K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 22,443 15,256 $520K
90651 12,674 12,636 $491K
90746 6,723 6,698 $488K
90686 43,323 43,201 $486K
90715 14,959 14,906 $462K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15,299 15,268 $458K
90677 6,879 6,673 $456K
92551 64,918 64,400 $446K
99462 11,400 8,827 $418K
J3490 Unclassified drugs 6,030 5,922 $398K
99215 Prolong outpt/office vis 4,638 4,549 $378K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,766 11,726 $366K
H1003 Prenatal care, at-risk enhanced service; education 13,797 11,933 $308K
99205 Prolong outpt/office vis 2,078 2,076 $292K
59025 Fetal non-stress test 8,048 4,698 $292K
99238 Hospital discharge day management, 30 minutes or less 5,290 5,211 $286K
90656 26,491 26,484 $277K
90670 25,649 25,543 $276K
99173 71,976 71,447 $274K
59514 434 417 $247K
90750 1,261 1,256 $230K
59430 2,970 2,937 $226K
99385 4,754 4,746 $217K
90620 4,047 4,038 $182K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26,277 25,951 $181K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 7,046 7,024 $173K
81003 88,786 78,320 $168K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,276 7,510 $160K
99283 Emergency department visit for the evaluation and management, moderate severity 4,238 4,091 $159K
85018 75,259 74,794 $151K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 11,416 11,366 $150K
99222 Initial hospital care, per day, moderate complexity 1,505 1,488 $149K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,604 1,028 $148K
D1206 Topical application of fluoride varnish 5,548 5,497 $136K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 123 121 $131K
97802 3,775 3,691 $127K
81025 41,109 40,158 $117K
90723 17,558 17,307 $113K
90647 16,684 16,443 $112K
0500F 525 525 $98K
90792 Psychiatric diagnostic evaluation with medical services 899 871 $98K
99401 6,974 6,537 $98K
90633 16,577 16,401 $97K
11721 2,916 1,553 $90K
99284 Emergency department visit for the evaluation and management, high severity 1,624 1,561 $88K
83036 Hemoglobin; glycosylated (A1C) 8,294 8,247 $88K
99232 Subsequent hospital care, per day, moderate complexity 2,139 922 $85K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,553 11,233 $81K
99386 2,388 2,387 $79K
36415 Collection of venous blood by venipuncture 7,868 7,461 $78K
90716 4,006 3,948 $72K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 772 724 $72K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,061 1,141 $65K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,865 1,854 $61K
90734 4,892 4,889 $57K
80061 Lipid panel 3,602 3,591 $56K
77067 Screening mammography, bilateral, including computer-aided detection 545 544 $51K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 863 843 $50K
99188 2,561 2,527 $50K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,011 1,008 $48K
97139 2,178 497 $48K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,130 1,130 $47K
90707 2,891 2,847 $44K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,429 1,411 $43K
11056 1,724 907 $39K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,844 2,740 $35K
97803 2,413 2,198 $34K
99444 498 497 $34K
92250 1,510 1,507 $33K
99223 Prolong inpt eval add15 m 344 326 $31K
90710 3,932 3,916 $30K
84439 1,300 1,284 $29K
99381 351 351 $28K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 769 729 $27K
90681 2,850 2,789 $25K
96156 1,675 1,639 $25K
90696 3,457 3,445 $25K
90688 2,172 2,170 $23K
90619 1,829 1,821 $23K
90700 2,599 2,580 $22K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 116 116 $21K
58300 229 116 $20K
99233 Prolong inpt eval add15 m 484 206 $19K
87088 676 652 $19K
99000 4,806 4,797 $19K
11981 94 78 $19K
99384 253 253 $18K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 165 165 $17K
86038 368 367 $16K
82728 407 406 $16K
97750 534 432 $15K
90732 178 178 $15K
90662 284 284 $15K
97799 647 152 $15K
90680 2,734 2,731 $14K
87340 399 398 $14K
11730 248 122 $14K
83655 1,076 1,074 $14K
95811 55 54 $13K
86580 3,729 3,641 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,035 1,031 $13K
88305 Level IV - Surgical pathology, gross and microscopic examination 148 138 $12K
99402 1,416 1,406 $12K
86704 237 236 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 132 94 $11K
90834 Psychotherapy, 45 minutes with patient 143 135 $11K
82962 5,400 5,222 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,425 1,376 $11K
76830 Ultrasound, transvaginal 163 163 $10K
90380 33 33 $10K
99242 72 72 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 55 55 $9K
99383 161 161 $9K
90649 168 168 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 208 208 $8K
82746 234 234 $8K
94200 533 269 $8K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 13 13 $8K
90837 Psychotherapy, 53 minutes with patient 79 54 $8K
90713 831 823 $8K
71046 Radiologic examination, chest; 2 views 680 674 $8K
82947 318 317 $8K
11720 388 200 $8K
11057 331 168 $8K
99403 166 166 $7K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 60 58 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 865 839 $7K
96150 426 417 $7K
97014 1,629 603 $7K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 631 630 $7K
86695 278 277 $6K
93000 623 620 $6K
96151 565 540 $6K
80305 556 425 $6K
T4541 Incontinence product, disposable underpad, large, each 300 282 $6K
86703 1,069 1,069 $6K
99239 Hospital discharge day management, more than 30 minutes 111 109 $6K
97161 294 249 $6K
90714 177 177 $5K
82652 184 183 $5K
85027 1,856 1,840 $5K
85652 503 491 $5K
83001 93 92 $5K
83013 305 305 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,716 3,589 $5K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,254 511 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 117 116 $5K
76700 Ultrasound, abdominal, real time with image documentation; complete 96 96 $5K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 147 135 $5K
99201 456 456 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 26 25 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 208 199 $4K
76642 65 62 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,420 1,402 $4K
87086 Culture, bacterial; quantitative colony count, urine 1,019 981 $4K
87522 Neg quan hep c or qual rna 182 179 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 17 14 $4K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 313 310 $4K
70450 Computed tomography, head or brain; without contrast material 91 87 $3K
86850 124 123 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 455 431 $3K
82274 298 298 $3K
99243 54 53 $3K
95117 650 364 $3K
97001 45 44 $3K
90685 372 372 $3K
H0049 Alcohol and/or drug screening 142 142 $2K
84403 125 123 $2K
84443 Thyroid stimulating hormone (TSH) 3,167 3,139 $2K
90744 728 723 $2K
58301 74 37 $2K
84466 225 225 $2K
69209 192 125 $2K
11976 24 14 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 196 192 $2K
73630 157 131 $2K
72110 69 67 $2K
80053 Comprehensive metabolic panel 4,380 4,276 $2K
73564 130 103 $2K
71045 Radiologic examination, chest; single view 303 258 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 27 14 $2K
17110 34 31 $2K
85610 927 691 $2K
90648 2,124 2,122 $2K
11055 112 54 $2K
93970 14 14 $2K
83735 179 156 $2K
11750 24 12 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 27 25 $2K
86480 169 167 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 32 32 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 239 225 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 34 34 $2K
82784 49 49 $2K
87205 62 56 $2K
81001 980 944 $2K
84146 100 100 $1K
87070 448 427 $1K
82465 12 12 $1K
76801 62 54 $1K
85730 151 142 $1K
82570 930 914 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 12 $1K
80048 Basic metabolic panel (calcium, ionized) 534 525 $1K
86200 173 173 $1K
86592 690 687 $1K
83970 104 103 $950.06
96158 102 102 $931.96
A4267 Contraceptive supply, condom, male, each 112 108 $907.10
83690 169 161 $741.78
82627 42 42 $715.45
87660 13 13 $702.39
86803 704 702 $701.55
90480 17 17 $680.00
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 150 141 $621.69
83014 237 236 $610.11
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,213 1,210 $587.54
92552 39 39 $547.99
84460 242 241 $526.98
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 17 14 $517.00
87209 14 14 $511.04
84132 110 103 $506.22
86787 164 162 $494.97
S9452 Nutrition classes, non-physician provider, per session 51 50 $491.10
90381 27 27 $486.00
87081 218 215 $475.51
86780 12 12 $469.51
86003 94 94 $464.10
82607 341 341 $448.13
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 503 503 $443.08
87046 12 12 $439.10
84550 137 135 $436.09
93016 26 26 $425.72
83540 372 371 $425.30
73610 39 36 $420.30
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 12 12 $413.90
81002 170 168 $402.99
86376 34 34 $369.84
73030 20 18 $358.31
92229 15 15 $337.57
82310 85 84 $332.76
90698 730 723 $299.25
82550 88 86 $292.35
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 86 85 $272.07
97530 Therapeutic activities, direct patient contact, each 15 minutes 61 27 $261.37
84479 24 24 $259.06
86706 56 56 $231.51
88720 51 38 $223.89
86708 250 249 $220.87
84436 78 77 $195.45
86431 238 238 $183.52
82785 14 14 $179.22
86901 44 44 $160.24
80074 221 220 $149.61
82248 132 131 $143.63
85045 53 46 $135.24
83921 12 12 $117.44
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 234 226 $97.27
92225 16 16 $96.54
84702 68 55 $93.75
83002 87 86 $90.74
84100 191 178 $83.53
80081 145 142 $81.58
95115 15 15 $76.65
86140 397 386 $75.97
87040 71 70 $69.97
87075 60 54 $61.16
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 759 739 $58.72
82565 118 111 $51.05
99382 12 12 $47.13
87077 261 253 $44.38
84484 107 105 $42.31
84156 137 126 $34.90
84075 83 83 $33.57
84481 13 13 $29.73
82040 59 59 $27.87
83516 29 29 $25.80
85007 185 181 $18.33
84450 185 185 $17.98
84153 43 42 $16.47
84295 43 42 $14.56
86317 206 205 $13.52
84520 110 98 $13.18
80076 137 136 $12.76
83880 67 66 $12.12
82553 51 49 $11.68
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 32 31 $5.41
86900 31 31 $2.16
3078F 2,857 2,795 $0.00
3077F 4,427 4,245 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 8,122 8,022 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,228 1,225 $0.00
87186 280 269 $0.00
99051 237 230 $0.00
86696 280 279 $0.00
82247 57 57 $0.00
87045 12 12 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 42 41 $0.00
85014 27 27 $0.00
87177 14 14 $0.00
S4993 Contraceptive pills for birth control 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 24,964 24,815 $0.00
3074F 2,020 1,988 $0.00
3080F 1,785 1,715 $0.00
3079F 3,076 3,018 $0.00
80069 110 106 $0.00
3075F 1,313 1,303 $0.00
83605 26 26 $0.00
97010 1,889 729 $0.00
94760 447 413 $0.00
83550 352 351 $0.00
87147 84 77 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 194 134 $0.00
82043 748 746 $0.00
87510 13 13 $0.00
H0033 Oral medication administration, direct observation 104 100 $0.00
A4335 Incontinence supply; miscellaneous 96 89 $0.00
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 68 67 $0.00
Q3014 Telehealth originating site facility fee 58 58 $0.00
T1014 Telehealth transmission, per minute, professional services bill separately 58 58 $0.00
82951 87 86 $0.00
81000 18 17 $0.00
R0070 Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen 17 16 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 14 14 $0.00
87480 13 13 $0.00
88141 27 27 $0.00
82435 14 14 $0.00
Q0092 Set-up portable x-ray equipment 17 16 $0.00