From: "Lagarias, Donna (DHCS-IMD)@DHCS" Date: Friday, April 12, 2019 at 12:32 PM To: Julia Long , "Davidson, Laura (DHCSIMD)@DHCS" Cc: Alice Huling , "Scott, Linette (DHCSIMD)@DHCS" , "Mikanda, John (DHCS-IMD)@DHCS" Subject: RE: Public Records Request re Life Issues Institute (PRA 2019-032 Huling) Good Morning Julia, The following tables are approved as de-identified based on Expert Determination dated 4/7/2019 and approved by OLS Privacy 4/11/2019. The CMIO number for this review is CMIO19-0253. Table 1 Yearly Unduplicated Counts for Obria NPIs 2015 NPI 1720109341 1861516809 Persons 41 45 2016 Visits 54 67 Persons * 127 2017 Visits * 192 Persons 21 93 Visits 27 190 Table 2 Count of Obria Beneficiaries Based on Visit Date to Billing Provider (NPI) - only CPT codes with a reportable value in at least one year are shown NPI CPT Code 2015 2016 2017 1720109341 76815 26 * * 1720109341 76817 18 * * 1720109341 81025 36 * 16 1720109341 99201 21 * 15 1861516809 76815 23 42 31 1861516809 76817 18 39 25 1861516809 81025 39 65 38 1861516809 99000 * 48 32 1861516809 99201 34 15 14 1861516809 99203 0 26 17 1861516809 Z1032 * 16 26 1861516809 Z1034 * 45 88 Table 3 Count of Obria Beneficiaries Based on Visit Date to Billing Provider (NPI) - only primary diagnoses with a reportable value in at least one year are shown Primary Diagnosis Code NPI 2015 2016 2017 ICD9/10 1720109341 6260/N912 34 0 14 1720109341 64963/O0001 25 0 * 1861516809 6260/N912 38 0 16 1861516809 N925 * 52 16 1861516809 O0001 0 0 22 1861516809 64963/O26841 25 40 * 1861516809 Z113 * 20 11 1861516809 Z3400 0 * 11 1861516809 Z3402 0 18 * 1861516809 Z3403 0 * 14 1861516809 Z3480 0 0 13 1861516809 Z3481 * 14 * 1861516809 Z3483 0 * 19 1861516809 Z36 0 0 12 Cells asterisked in the table represent suppression of a cell size less than 11. Donna Lagarias, Research Scientist Department of Health Care Services Information Management Division Office of the CMIO, MS 0021 P.O. Box 997413 Sacramento, CA 95899-7413 Phone: 916.701.8197 Confidentiality Notice: This communication, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and/or legally privileged information. Any unauthorized review, use, disclosure, interception, and/or distribution of this message and/or any attachments, is strictly prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient(s), please immediately contact the sender and kindly destroy all copies of the original communication as well as any attachments. Thank you in advance for your cooperation.