PROXIMA CENTAURI, PLLC

$1.03M

Total Medicaid Paid

47,614

Total Claims

40,012

Beneficiaries

21

Codes Billed

2018-01

First Month

2024-12

Last Month

Authorized Official	ROTH, JAMES (PRESIDENT)
NPI Enumeration Date	12/07/2011

Provider	City	State	Total Paid
SIGNATURE UROLOGY SPECIALISTS, INC	LOS ANGELES	CA	$10K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	28,168	23,781	$705K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14,581	11,890	$186K
99205	Prolong outpt/office vis	685	656	$35K
99215	Prolong outpt/office vis	741	671	$31K
95810	Polysomnography; sleep staging with 4 or more additional parameters	362	323	$24K
90791	Psychiatric diagnostic evaluation	271	214	$12K
99308	Subsequent nursing facility care, per day, straightforward	584	412	$10K
27096		34	33	$4K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	77	67	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	226	211	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	550	503	$3K
80305		488	470	$2K
95811		30	28	$2K
95910		29	28	$2K
99306	Prolong nursin fac eval 15m	39	37	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	123	118	$982.70
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	34	31	$801.24
94060		31	28	$738.98
99407		40	37	$322.10
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	481	434	$281.58
G0452	Molecular pathology procedure; physician interpretation and report	40	40	$0.00

Medicaid Provider Spending