JESSICA MANTILLA MD INC
NPI: 1861841348
· ALHAMBRA, CA 91801
· 207RI0200X
$356K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,416 |
$38K |
| 2019 |
2,302 |
$66K |
| 2020 |
2,025 |
$55K |
| 2021 |
2,076 |
$47K |
| 2022 |
3,044 |
$65K |
| 2023 |
3,444 |
$56K |
| 2024 |
3,643 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
|
13,574 |
3,987 |
$220K |
| 99222 |
|
1,647 |
1,606 |
$79K |
| 99308 |
|
3,042 |
844 |
$33K |
| 99223 |
Prolong inpt eval add15 m |
184 |
182 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
503 |
195 |
$10K |