Medicaid Provider Spending

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

BEAR VALLEY PRIMARY CARE INC

NPI: 1871943035 · VICTORVILLE, CA 92395 · Primary Care Clinic/Center · NPI assigned 06/20/2016

$187.38
Total Medicaid Paid
16,246
Total Claims
14,188
Beneficiaries
26
Codes Billed
2018-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDE LA LLANA, JOSE (PRESIDENT)
NPI Enumeration Date06/20/2016

Related Entities

Other providers sharing the same authorized official: DE LA LLANA, JOSE

ProviderCityStateTotal Paid
JDCM CORPORATION ONTARIO CA $21K
MONTE VISTA PHYSICIANS A MEDICAL CORPORATION UPLAND CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 337 $99.01
2019 1,546 $76.67
2020 1,885 $0.00
2021 4,486 $0.00
2022 2,431 $0.00
2023 3,623 $11.70
2024 1,938 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,812 2,429 $187.38
4004F 2,821 2,370 $0.00
1160F 1,525 1,329 $0.00
1159F 1,380 1,204 $0.00
0521F 44 42 $0.00
81002 56 52 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 51 51 $0.00
3078F 593 532 $0.00
3077F 87 82 $0.00
S9083 Global fee urgent care centers 18 17 $0.00
3725F 13 13 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 17 14 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,022 957 $0.00
3008F 2,887 2,456 $0.00
1125F 714 650 $0.00
1126F 977 867 $0.00
3074F 759 686 $0.00
3044F 12 12 $0.00
36415 Collection of venous blood by venipuncture 101 86 $0.00
3079F 176 166 $0.00
83036 Hemoglobin; glycosylated (A1C) 15 15 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 28 27 $0.00
H0049 Alcohol and/or drug screening 55 51 $0.00
3080F 27 25 $0.00
99000 43 42 $0.00
85018 13 13 $0.00