Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CULVER CITY › PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION

PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION

NPI: 1942593918 · CULVER CITY, CA 90230 · Cardiovascular Disease Physician · NPI assigned 05/24/2011

$613K
Total Medicaid Paid
3,900
Total Claims
3,795
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBROWN, SPENCER (AUTHORIZED OFFICIAL)
NPI Enumeration Date05/24/2011

Related Entities

Other providers sharing the same authorized official: BROWN, SPENCER

ProviderCityStateTotal Paid
PIVAC ASC LLC CULVER CITY CA $162K
CENTURY CITY SURGICAL ASSOCIATES A MEDICAL CORPORATION ASSOCIATES MEDI CULVER CITY CA $66K
ADJUSTED LIFE CHIROPRACTIC LLC LINCOLN NE $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 570 $32K
2019 622 $82K
2020 706 $79K
2021 685 $130K
2022 364 $108K
2023 532 $124K
2024 421 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
36902 2,980 2,974 $573K
36907 702 695 $39K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $358.94
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 182 90 $97.60
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 24 24 $0.01