Medicaid Provider Spending

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

PEDIATRIC AND FAMILY MEDICAL CENTER

NPI: 1982075107 · SHERMAN OAKS, CA 91403 · 171M00000X

$71.67M
Total Medicaid Paid
700,042
Total Claims
558,208
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,840 $2.24M
2019 56,987 $6.62M
2020 102,752 $8.85M
2021 117,622 $11.79M
2022 91,544 $9.50M
2023 103,005 $10.67M
2024 216,292 $22.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 246,140 209,346 $65.37M
00003 16,682 14,178 $5.28M
99213 119,032 87,633 $370K
99212 25,495 19,091 $110K
99392 9,230 7,871 $67K
99214 24,710 19,243 $63K
99391 6,887 6,146 $46K
99393 8,274 6,319 $43K
99203 4,906 3,890 $43K
H1001 Antepartum management 679 485 $33K
96110 6,177 4,506 $28K
99204 2,829 2,407 $27K
G9012 Other specified case mgmt 308 186 $24K
99394 4,586 3,491 $21K
90834 2,057 1,062 $16K
59425 340 212 $13K
90686 9,474 7,909 $12K
92551 18,211 14,594 $10K
90670 5,047 4,550 $10K
90648 5,401 4,833 $9K
81025 5,489 4,343 $6K
87426 321 292 $5K
99211 1,319 1,275 $5K
17110 475 316 $5K
90723 3,302 2,999 $5K
90460 11,428 9,432 $4K
90837 911 462 $4K
G9920 Scrning perf and negative 3,359 2,423 $4K
90832 2,199 1,574 $3K
90651 1,274 1,075 $3K
90633 1,613 1,417 $3K
81002 13,129 8,436 $2K
85018 6,516 5,330 $2K
96127 6,899 5,244 $1K
99173 18,466 16,070 $1K
99395 273 210 $1K
92552 143 142 $1K
90746 92 89 $1K
G0467 Fqhc visit, estab pt 94 89 $1K
J3490 Drugs unclassified injection 36 36 $1K
D0120 243 152 $961.00
90681 1,033 955 $945.00
0011A 17 14 $938.00
92081 1,152 1,149 $788.09
90707 227 208 $765.00
0502F 9,148 5,556 $723.16
90677 525 456 $711.12
11102 48 37 $692.45
99202 72 60 $648.20
99215 Prolong outpt/office vis 158 135 $594.33
90716 262 228 $585.00
90847 60 32 $580.86
90700 287 257 $576.00
D0150 63 37 $542.00
99385 28 25 $361.22
D0230 1,380 202 $325.95
D0220 588 381 $316.00
G9919 Scrn nd pos nd prov of rec 198 139 $290.00
90715 163 127 $273.76
92004 63 51 $237.20
H1003 Prenatal at risk education 63 54 $235.77
90471 561 484 $182.14
90461 5,423 4,619 $174.34
D0274 81 40 $172.80
90734 470 389 $171.00
D0330 55 28 $167.00
99000 2,935 2,396 $153.21
1159F 5,721 3,962 $144.24
90472 87 72 $129.28
90656 1,044 962 $115.43
D1110 19 12 $105.00
90710 104 82 $81.00
D1206 70 38 $78.00
99381 116 103 $45.33
92012 63 59 $37.15
S9445 Pt education noc individ 14 12 $33.64
87880 265 245 $27.96
92015 467 451 $23.95
11900 38 27 $20.16
90619 45 31 $18.00
87400 88 75 $11.58
90696 70 57 $9.00
90620 152 140 $9.00
82962 91 87 $8.00
Z6400 2,724 2,559 $0.00
3078F 8,334 6,148 $0.00
3725F 8,882 6,217 $0.00
1160F 4,565 3,133 $0.00
J3301 Triamcinolone acet inj nos 18 16 $0.00
Z6304 826 800 $0.00
92014 34 34 $0.00
Z6500 622 620 $0.00
90661 331 302 $0.00
Z6414 306 260 $0.00
87804 19 12 $0.00
90678 15 13 $0.00
Z6208 142 141 $0.00
Z6308 128 128 $0.00
99401 12 12 $0.00
1036F 2,236 1,638 $0.00
Z1034 11,227 8,073 $0.00
3074F 8,945 6,613 $0.00
3008F 16,177 11,890 $0.00
Z6204 885 876 $0.00
0500F 307 254 $0.00
Z6406 1,711 1,459 $0.00
Z6410 1,032 758 $0.00
Z1032 424 419 $0.00
0501F 898 674 $0.00
3079F 613 458 $0.00
D1330 256 183 $0.00
36415 218 172 $0.00
3075F 162 117 $0.00
92250 40 40 $0.00
H0002 Alcohol and/or drug screenin 122 104 $0.00
2023F 29 29 $0.00
0503F 42 39 $0.00
76817 20 13 $0.00
J7611 Albuterol non-comp con 30 30 $0.00
Z1038 54 51 $0.00
Z6404 41 40 $0.00
92567 13 13 $0.00
17000 16 12 $0.00
90674 14 14 $0.00
90647 12 12 $0.00