RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC

$9.19M

Total Medicaid Paid

172,385

Total Claims

34,033

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
90999		51,589	3,914	$8.56M
J0887	Epoetin beta esrd use	2,686	1,804	$261K
85018		5,762	2,062	$60K
J1756	Iron sucrose injection	5,282	1,414	$39K
84520		3,595	2,002	$29K
84100		1,489	1,212	$22K
A4657	Syringe w/wo needle	31,692	1,702	$21K
84155		2,247	2,138	$21K
83550		1,828	1,740	$20K
J1644	Inj heparin sodium per 1000u	34,653	1,512	$19K
0250		15,839	1,280	$19K
85027		176	160	$18K
83540		2,298	2,181	$18K
83970		855	811	$16K
82310		1,585	1,103	$9K
87340		627	587	$9K
84075		591	561	$8K
83735		590	560	$8K
80069		1,018	956	$7K
82728		967	891	$4K
85025		1,850	1,773	$4K
80051		758	723	$3K
A6216	Non-sterile gauze<=16 sq in	1,186	116	$3K
82565		834	764	$2K
82040		852	779	$2K
86706		182	176	$2K
82108		157	153	$2K
J1270	Injection, doxercalciferol	142	13	$1K
84466		253	239	$954.12
82746		106	104	$761.97
82607		79	77	$387.50
90688		50	44	$342.34
G0008	Admin influenza virus vac	152	143	$224.30
90686		49	47	$140.83
86803		67	65	$136.84
90682		22	22	$97.66
83036		69	68	$89.54
90662		27	27	$77.71
90661		14	14	$36.85
85046		13	12	$0.00
84132		118	55	$0.00
J3490	Drugs unclassified injection	19	12	$0.00
86704		17	17	$0.00

Medicaid Provider Spending