Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN PEDRO › LOS ANGELES COUNTY - SAN PEDRO MTU

LOS ANGELES COUNTY - SAN PEDRO MTU

NPI: 1982759304 · SAN PEDRO, CA 90732 · Rehabilitation Clinic/Center · NPI assigned 01/24/2007

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

Authorized official WEBBER-CHRISTMAS, SHAVONDA controls 18+ related entities in our dataset. Read more

$188K
Total Medicaid Paid
10,351
Total Claims
5,278
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWEBBER-CHRISTMAS, SHAVONDA (ACTING DIRECTOR, CMS)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: WEBBER-CHRISTMAS, SHAVONDA

ProviderCityStateTotal Paid
LOS ANGELES COUNTY - NORTH HOLLYWOOD MTU NORTH HOLLYWOOD CA $833K
LOS ANGELES COUNTY - HUNTINGTON PARK MTU HUNTINGTON PARK CA $832K
LOS ANGELES COUNTY - PALMDALE MTU PALMDALE CA $613K
LOS ANGELES COUNTY - LONG BEACH MTU LONG BEACH CA $604K
LOS ANGELES COUNTY - CLAREMONT MTU CLAREMONT CA $570K
LOS ANGELES COUNTY - GARDENA MTU GARDENA CA $542K
LOS ANGELES COUNTY - LA PUENTE MTU LA PUENTE CA $477K
LOS ANGELES COUNTY - DOWNEY MTU DOWNEY CA $455K
LOS ANGELES COUNTY - EL MONTE MTU EL MONTE CA $443K
LOS ANGELES COUNTY - PEREZ MTU LOS ANGELES CA $431K
LOS ANGELES COUNTY - LOS ANGELES MTU LOS ANGELES CA $404K
LOS ANGELES COUNTY - SOUTH BAY MTU REDONDO BEACH CA $376K
LOS ANGELES COUNTY - MAR VISTA MTU LOS ANGELES CA $235K
LOS ANGELES COUNTY - MID-CITIES MTU COMPTON CA $217K
LOS ANGELES COUNTY - NORWALK MTU NORWALK CA $206K
LOS ANGELES COUNTY - SANTA CLARITA MTU SANTA CLARITA CA $176K
LOS ANGELES COUNTY - GLENDALE TU GLENDALE CA $144K
LOS ANGELES COUNTY - PASADENA MTU PASADENA CA $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,006 $36K
2019 2,301 $43K
2020 472 $9K
2021 796 $15K
2022 1,325 $23K
2023 2,075 $38K
2024 1,376 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
X4110 2,355 1,163 $50K
X3908 2,224 981 $47K
X4112 2,155 1,076 $27K
X4120 1,186 802 $25K
X3910 1,932 805 $21K
X3920 273 250 $9K
X3922 84 80 $4K
X4100 75 64 $3K
X3928 40 32 $839.20
X4102 14 13 $664.56
X4104 13 12 $272.74