Medicaid Provider Spending

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

KELLEY PARK MEDICAL CLINIC, INC

NPI: 1942340625 · SAN JOSE, CA 95122 · 261QP2300X

$168K
Total Medicaid Paid
12,789
Total Claims
12,378
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,803 $39K
2019 2,206 $35K
2020 1,648 $23K
2021 1,797 $31K
2022 1,543 $14K
2023 1,631 $15K
2024 1,161 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92081 1,151 1,110 $39K
90686 1,746 1,642 $35K
92552 776 775 $14K
90682 197 197 $13K
90750 77 77 $13K
99393 163 163 $8K
99214 2,133 2,107 $8K
99395 103 63 $7K
99394 97 95 $6K
99213 4,781 4,589 $4K
90688 245 245 $4K
90658 195 195 $4K
83036 398 396 $4K
90656 105 105 $2K
90662 62 62 $2K
90756 47 47 $1K
99392 27 27 $1K
90673 16 16 $795.04
90657 39 39 $450.45
90655 14 14 $427.14
86580 27 26 $88.80
G0008 Admin influenza virus vac 17 17 $34.69
3074F 12 12 $0.00
90471 132 131 $0.00
99396 129 128 $0.00
99212 76 76 $0.00
69210 12 12 $0.00
3078F 12 12 $0.00