Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › POMONA › PRIME ONE CARE LLC

PRIME ONE CARE LLC

NPI: 1942887179 · POMONA, CA 91767 · 261QA0600X

$2.61M
Total Medicaid Paid
38,100
Total Claims
3,388
Beneficiaries
2
Codes Billed
2022-12
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 342 $21K
2023 17,499 $1.21M
2024 20,259 $1.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Adult day care per diem 37,721 3,246 $2.58M
H2000 Comp multidisipln evaluation 379 142 $28K