Medicaid Provider Spending

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

INTERNATIONAL MEDICAL TECHNOLOGY, INC

NPI: 1942607080 · TEMECULA, CA 92592 · Health Maintenance Organization · NPI assigned 12/03/2014

$1K
Total Medicaid Paid
5,751
Total Claims
5,341
Beneficiaries
17
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSALAMA, FOUAD (OWNER/PRESIDENT)
NPI Enumeration Date12/03/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,034 $143.99
2019 2,574 $668.76
2020 1,143 $622.40

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0442 Annual alcohol misuse screening, 5 to 15 minutes 230 225 $650.24
99215 Prolong outpt/office vis 558 517 $422.21
93000 13 13 $142.05
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 517 487 $121.50
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 379 342 $68.21
G0444 Annual depression screening, 5 to 15 minutes 394 387 $16.00
94760 1,346 1,211 $11.06
81003 383 374 $3.88
99205 Prolong outpt/office vis 511 479 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 916 815 $0.00
3079F 41 38 $0.00
99386 55 55 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 288 281 $0.00
99355 17 16 $0.00
1111F 14 12 $0.00
3008F 16 16 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 73 73 $0.00