Medicaid Provider Spending

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

ELISA E HORTA, MD,MPH, A PROFESSIONAL MEDICAL CORPORATION

NPI: 1942294285 · DAVIS, CA 95618 · Family Medicine Physician · NPI assigned 09/01/2005

$3K
Total Medicaid Paid
423
Total Claims
415
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialHORTA, ELISA (PRESIDENT)
NPI Enumeration Date09/01/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 154 $1K
2019 87 $846.94
2020 83 $761.30
2021 99 $829.83

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 167 166 $2K
99070 65 65 $788.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 118 117 $197.29
J3490 Unclassified drugs 15 15 $189.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 58 52 $156.00