Medicaid Provider Spending

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

FLORES, EDGAR

NPI: 1992857239 · FULLERTON, CA 92833 · Legal Medicine · NPI assigned 01/17/2007

$639K
Total Medicaid Paid
60,736
Total Claims
52,725
Beneficiaries
50
Codes Billed
2018-01
First Month
2023-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,140 $67K
2019 7,951 $117K
2020 11,557 $131K
2021 13,590 $104K
2022 13,930 $111K
2023 10,568 $109K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,395 5,499 $218K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,379 3,297 $90K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,295 942 $52K
96156 1,570 1,536 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,950 1,569 $25K
92551 1,923 1,896 $25K
G9920 Screening performed and negative 966 935 $23K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,620 1,589 $22K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 517 495 $19K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,370 1,310 $18K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,632 3,314 $17K
90682 207 204 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 233 217 $10K
99406 867 788 $9K
99000 2,592 2,429 $9K
99497 134 132 $8K
90686 329 320 $6K
99215 Prolong outpt/office vis 50 49 $5K
90671 27 27 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 869 849 $5K
59425 41 26 $3K
96127 2,636 2,508 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 116 115 $3K
81000 820 763 $2K
85018 658 645 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 49 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $1K
99205 Prolong outpt/office vis 12 12 $1K
99385 27 27 $1K
93000 27 27 $950.80
90715 25 24 $835.83
82962 346 331 $813.16
96151 31 30 $588.98
97802 433 410 $567.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes 59 55 $502.79
G0444 Annual depression screening, 5 to 15 minutes 81 75 $128.03
81025 41 40 $112.00
99070 30 28 $102.33
82948 32 26 $88.81
3079F 1,633 1,523 $0.00
3074F 5,103 4,390 $0.00
3075F 1,557 1,470 $0.00
3008F 9,313 7,694 $0.00
1157F 124 122 $0.00
99386 14 14 $0.00
99173 217 217 $0.00
3078F 5,002 4,348 $0.00
99401 341 320 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 15 14 $0.00