Medicaid Provider Spending

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

PORTOLA MEDICAL SERVICES PC

NPI: 1871962076 · LAKE FOREST, CA 92630 · Urgent Care Clinic/Center · NPI assigned 09/17/2015

$1.43M
Total Medicaid Paid
31,400
Total Claims
28,990
Beneficiaries
22
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZELLER, MATTHEW (CEO)
NPI Enumeration Date09/17/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 15 $695.20
2020 12 $43.52
2021 243 $8K
2022 2,531 $91K
2023 14,824 $593K
2024 13,775 $738K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,417 6,771 $450K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,135 6,491 $412K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,221 4,142 $269K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,850 3,788 $216K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,560 1,504 $32K
99070 1,741 1,578 $22K
71046 Radiologic examination, chest; 2 views 455 440 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,135 565 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 56 54 $2K
73630 99 96 $2K
99051 1,713 1,649 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 370 309 $2K
73610 73 71 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 551 547 $1K
81002 639 610 $729.24
J1885 Injection, ketorolac tromethamine, per 15 mg 138 135 $698.66
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 46 45 $423.10
J0696 Injection, ceftriaxone sodium, per 250 mg 62 59 $331.89
87807 16 16 $137.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 99 96 $97.80
93000 12 12 $57.40
99000 12 12 $43.52