Medicaid Provider Spending

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

LOS ANGELES COUNTY - SAN PEDRO MTU

NPI: 1982759304 · SAN PEDRO, CA 90732 · 261QR0400X

$188K

Total Medicaid Paid

10,351

Total Claims

5,278

Beneficiaries

11

Codes Billed

2018-01

First Month

2024-09

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total 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

Code	Description	Claims	Beneficiaries	Total 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