Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › GARDENA › KHALILI, MANOUTCHER

KHALILI, MANOUTCHER

NPI: 1861446841 · GARDENA, CA 90247 · 207Q00000X

$4K
Total Medicaid Paid
483
Total Claims
474
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 367 $4K
2020 15 $0.00
2022 26 $11.00
2023 50 $18.00
2024 25 $3.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99393 43 43 $2K
99392 35 35 $1K
92552 64 64 $952.57
81000 52 52 $132.09
85018 44 42 $89.79
86580 12 12 $39.96
90630 86 86 $24.55
99213 58 56 $17.00
99203 45 41 $15.00
99215 Prolong outpt/office vis 13 12 $0.00
90633 18 18 $0.00
90716 13 13 $0.00