Medicaid Provider Spending

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

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.

NPI: 1992073209 · MADERA, CA 93636 · Pediatrics Physician · NPI assigned 12/01/2011

$233K
Total Medicaid Paid
6,171
Total Claims
6,043
Beneficiaries
23
Codes Billed
2018-08
First Month
2019-06
Last Month

Provider Details

Authorized OfficialMURPHY, JEROME (PRESIDENT)
Parent OrganizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
NPI Enumeration Date12/01/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,458 $76K
2019 3,713 $157K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,998 1,952 $86K
99051 1,329 1,305 $45K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 808 801 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 265 263 $15K
99244 Office or other outpatient consultation, moderate to high complexity 115 113 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 46 45 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 293 287 $7K
99243 102 102 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 108 108 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 124 124 $4K
81002 135 135 $4K
99238 Hospital discharge day management, 30 minutes or less 182 174 $3K
93000 85 83 $3K
J7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg 105 103 $2K
A7015 Aerosol mask, used with dme nebulizer 104 102 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 105 103 $2K
J3490 Unclassified drugs 32 32 $1K
93325 27 26 $1K
94760 93 91 $810.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $650.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 14 13 $622.08
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 77 57 $267.48
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 12 12 $176.17