UC DAVIS MEDICAL CENTER
NPI: 1912980103
· SACRAMENTO, CA 95817
· Critical Access Hospital
· NPI assigned 11/22/2005
$46.69
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
803 |
$46.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80048 |
Basic metabolic panel (calcium, ionized) |
135 |
86 |
$29.10 |
| 80053 |
Comprehensive metabolic panel |
206 |
188 |
$7.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
249 |
204 |
$5.40 |
| 83735 |
|
40 |
30 |
$4.77 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
55 |
47 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
40 |
38 |
$0.00 |
| 85027 |
|
45 |
33 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
20 |
14 |
$0.00 |
| 85610 |
|
13 |
12 |
$0.00 |