Medicaid Provider Spending

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

PREMIER HEALTHCARE OF PLACERVILLE

NPI: 1932345410 · PLACERVILLE, CA 95667 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/05/2009

$1K
Total Medicaid Paid
396
Total Claims
365
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOONEY, JOHN (OWNER)
NPI Enumeration Date01/05/2009

Related Entities

Other providers sharing the same authorized official: MOONEY, JOHN

ProviderCityStateTotal Paid
NORTHEAST CONNECTICUT DENTAL ASSOCIATES, INC. PUTNAM CT $630K
LEOMINSTER OPTOMETRIC ASSOCIATES, INC. LEOMINSTER MA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 32 $171.60
2024 364 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 216 198 $1K
99215 Prolong outpt/office vis 12 12 $171.60
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 105 96 $58.86
99442 17 15 $40.01
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46 44 $0.00