Medicaid Provider Spending

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

HEACOCK HEALTH MEDICAL GROUP, INC.

NPI: 1891251849 · MORENO VALLEY, CA 92553 · Family Medicine Physician · NPI assigned 02/14/2019

$1.59M
Total Medicaid Paid
47,540
Total Claims
45,723
Beneficiaries
32
Codes Billed
2020-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPENUNURI, RAFAEL (MEDICAL DIRECTOR)
NPI Enumeration Date02/14/2019

Related Entities

Other providers sharing the same authorized official: PENUNURI, RAFAEL

ProviderCityStateTotal Paid
REMEDIAL MEDICAL GROUP MORENO VALLEY CA $220K
LIFE HEALTH CARE MEDICAL GROUP INC SANTA ANA CA $93K
REMEDIAL PATIENTS CARE INC CORONA CA $42K
SUPERIOR FAMILY MEDICAL GROUP INC NEWPORT BEACH CA $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,123 $36K
2021 14,427 $351K
2022 13,882 $453K
2023 10,966 $426K
2024 7,142 $328K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,772 7,480 $286K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,838 3,821 $257K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,197 5,998 $213K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,086 8,333 $208K
86328 5,605 5,469 $195K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,161 3,130 $169K
99215 Prolong outpt/office vis 1,343 1,289 $78K
99205 Prolong outpt/office vis 596 596 $51K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,967 2,885 $49K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,829 1,759 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 992 931 $17K
99417 Prolong home eval add 15m 583 583 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 433 423 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 578 570 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 212 212 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 151 82 $1K
81005 780 768 $1K
87400 228 227 $1K
94760 207 203 $1K
87086 Culture, bacterial; quantitative colony count, urine 112 112 $718.76
81000 259 250 $647.77
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 47 47 $229.26
S9083 Global fee urgent care centers 126 123 $90.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 125 124 $82.76
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 118 118 $75.00
81003 14 14 $19.40
J1885 Injection, ketorolac tromethamine, per 15 mg 15 15 $12.45
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 40 40 $4.66
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 14 14 $3.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg 23 22 $2.99
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 64 64 $2.21
99401 25 21 $0.00