Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MADERA › SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF OTOLARYNGOLOGY

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF OTOLARYNGOLOGY

NPI: 1861673246 · MADERA, CA 93636 · Otolaryngology Physician · NPI assigned 11/14/2007

$11K
Total Medicaid Paid
992
Total Claims
970
Beneficiaries
6
Codes Billed
2019-09
First Month
2020-04
Last Month

Provider Details

Authorized OfficialKAJI, DEVONNA (PRESIDENT AND MEDICAL DIRECTOR)
Parent OrganizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
NPI Enumeration Date11/14/2007

Related Entities

Other providers sharing the same authorized official: KAJI, DEVONNA

ProviderCityStateTotal Paid
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO MODESTO CA $152K
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF ORTHOPEDICS MADERA CA $9K
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MEDICINE MADERA CA $3K
SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC. - DEPT OF NEUROLOGY MADERA CA $111.10
SPECIALTY MEDICAL GROUP - DEPT OF PERINATOLOGY MADERA CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 575 $5K
2020 417 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
42820 Tonsillectomy and adenoidectomy; younger than age 12 155 155 $5K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 74 74 $2K
99243 184 184 $1K
99244 Office or other outpatient consultation, moderate to high complexity 181 181 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 198 185 $968.02
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 200 191 $888.80