Medicaid Provider Spending

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

HOLLISTER PEDIATRICS

NPI: 1982879722 · HOLLISTER, CA 95023 · Pediatrics Physician · NPI assigned 04/23/2008

$0.00
Total Medicaid Paid
6,404
Total Claims
5,521
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-10
Last Month

Provider Details

Authorized OfficialPEREZ, MARIA (OFFICE MANAGER)
NPI Enumeration Date04/23/2008

Related Entities

Other providers sharing the same authorized official: PEREZ, MARIA

ProviderCityStateTotal Paid
MRPV,LLC VEGA BAJA PR $360K
MUNICIPALITY OF CATANO CATANO PR $176K
DEERBROOK FAMILY DENTISTRY HUMBLE TX $18K
MUNICIPALITY OF CATANO CATANO PR $482.40

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,535 $0.00
2019 2,869 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96160 702 690 $0.00
81002 15 14 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 82 81 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 19 15 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 100 96 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 648 618 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,838 4,007 $0.00