Medicaid Provider Spending

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

JOSE D BERGANZA, M.D INC

NPI: 1962560896 · BALDWIN PARK, CA 91706 · Obstetrics & Gynecology Physician · NPI assigned 12/04/2006

$615K
Total Medicaid Paid
96,067
Total Claims
91,787
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGANZA, JOSE (PRESIDENT)
NPI Enumeration Date12/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,496 $144K
2019 20,779 $133K
2020 13,175 $94K
2021 11,861 $97K
2022 13,191 $70K
2023 12,064 $67K
2024 6,501 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,522 3,431 $112K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,489 3,424 $92K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,096 12,309 $83K
92551 7,189 7,156 $49K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,892 1,839 $47K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,062 8,960 $43K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 734 728 $29K
90472 Immunization administration, each additional vaccine (list separately) 5,489 4,061 $28K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 391 383 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,903 18,640 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 987 963 $25K
85018 10,439 10,279 $18K
Z1034 183 149 $10K
81000 4,851 4,817 $5K
90658 2,525 2,474 $5K
81002 3,173 3,144 $4K
90715 440 414 $3K
90651 1,013 995 $3K
99383 38 38 $1K
90723 478 472 $1K
90647 620 610 $1K
90670 595 585 $1K
90680 264 256 $1K
90734 686 669 $659.07
90633 335 333 $382.00
90716 260 257 $380.00
90707 258 256 $264.65
90700 247 243 $257.79
88150 14 14 $191.39
90620 415 412 $156.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 841 841 $82.11
90655 75 75 $80.00
3078F 328 328 $30.00
81003 19 19 $19.18
90686 33 33 $10.00
81025 13 13 $8.40
90713 52 52 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 52 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 808 808 $0.00
G0444 Annual depression screening, 5 to 15 minutes 79 79 $0.00
3008F 710 709 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 113 113 $0.00
3074F 341 341 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $0.00