COUNTRY VILLA CLAREMONT HEALTHCARE CENTER, INC.
NPI: 1982698882
· CLAREMONT, CA 91711
· 314000000X
$331K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
646 |
$29K |
| 2019 |
1,022 |
$38K |
| 2020 |
4,796 |
$137K |
| 2021 |
696 |
$23K |
| 2022 |
1,733 |
$93K |
| 2023 |
108 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
4,494 |
365 |
$166K |
| 97110 |
|
2,714 |
291 |
$115K |
| 97112 |
|
1,367 |
183 |
$34K |
| 97535 |
|
268 |
36 |
$14K |
| 97116 |
|
129 |
12 |
$2K |
| 90656 |
|
16 |
15 |
$797.99 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$275.77 |