Medicaid Provider Spending

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

CALIFORNIA NURSING CONSULTANTS

NPI: 1891388286 · CORONA, CA 92881 · Family Medicine Physician · NPI assigned 02/16/2021

$37K
Total Medicaid Paid
3,955
Total Claims
3,848
Beneficiaries
18
Codes Billed
2022-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPAULE, HOLY DOVE (PRESIDENT/CEO)
NPI Enumeration Date02/16/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 286 $2K
2023 1,694 $11K
2024 1,975 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) 456 447 $11K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 317 305 $10K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 414 414 $6K
99490 Ccm add 20min 659 652 $3K
99497 765 749 $3K
99496 28 25 $1K
99350 Prolong home eval add 15m 454 437 $732.32
99349 68 68 $718.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 26 26 $602.44
99439 519 514 $575.65
99443 13 12 $348.66
93970 14 14 $138.84
99345 Prolong home eval add 15m 24 24 $93.36
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 74 55 $0.00
93925 27 27 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 28 21 $0.00
1123F 20 20 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 49 38 $0.00