Medicaid Provider Spending

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

INPATIENT SPECIALISTS OF CALIFORNIA, PC

NPI: 1952792475 · SAN BERNARDINO, CA 92404 · Family Medicine Physician · NPI assigned 02/06/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$32.85M
Total Medicaid Paid
586,885
Total Claims
317,898
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date02/06/2015

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M
COGENT HEALTHCARE OF NORTH CAROLINA, PC HIGH POINT NC $3.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,125 $2.09M
2019 61,488 $3.50M
2020 91,426 $5.13M
2021 94,532 $5.61M
2022 85,294 $4.94M
2023 109,816 $6.11M
2024 101,204 $5.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 241,107 98,706 $10.79M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 99,591 45,623 $8.04M
99223 Prolong inpt eval add15 m 67,747 66,264 $7.31M
99232 Subsequent hospital care, per day, moderate complexity 107,351 42,073 $3.33M
99239 Hospital discharge day management, more than 30 minutes 48,691 47,709 $2.42M
99222 Initial hospital care, per day, moderate complexity 5,417 5,341 $449K
99497 2,567 2,447 $116K
99238 Hospital discharge day management, 30 minutes or less 3,519 3,459 $107K
99292 1,780 821 $81K
99308 Subsequent nursing facility care, per day, straightforward 3,580 1,364 $78K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,225 893 $66K
99220 326 316 $23K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 377 369 $3K
94060 311 303 $3K
36556 79 74 $3K
94726 483 475 $2K
99219 42 41 $2K
94729 608 593 $2K
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth 14 14 $2K
99460 28 28 $2K
36620 30 29 $2K
94375 292 282 $2K
99217 52 50 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 35 17 $1K
92950 13 13 $1K
31500 49 46 $762.86
94010 274 272 $731.25
94618 118 110 $681.71
99407 30 29 $546.49
94727 104 97 $340.23
99358 Prolong nursin fac eval 15m 15 12 $255.22
76937 13 12 $116.62
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 17 16 $11.19