Medicaid Provider Spending

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

PROMONTORY HOME HEALTH SD LLC

NPI: 1982084752 · EL CAJON, CA 92020 · Home Health Agency · NPI assigned 06/05/2015

$4K
Total Medicaid Paid
626
Total Claims
321
Beneficiaries
5
Codes Billed
2018-01
First Month
2022-04
Last Month

Provider Details

Authorized OfficialBRAZELTON, AMANDA (ADMINISTRATOR)
NPI Enumeration Date06/05/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 179 $910.43
2020 145 $952.68
2021 261 $2K
2022 41 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 367 178 $2K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 113 36 $1K
S9131 Physical therapy; in the home, per diem 21 13 $324.00
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 56 26 $104.21
1AA11 69 68 $0.00