Medicaid Provider Spending

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

LA VISTA HEALTH

NPI: 1942817804 · DIAMOND BAR, CA 91765 · Obstetrics & Gynecology Physician · NPI assigned 09/24/2020

$2K
Total Medicaid Paid
142
Total Claims
137
Beneficiaries
4
Codes Billed
2022-10
First Month
2023-11
Last Month

Provider Details

Authorized OfficialTREVELLINE, MELISSA (CEO)
NPI Enumeration Date09/24/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 15 $346.39
2023 127 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 57 57 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 55 51 $425.26
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18 17 $40.91
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $17.92