Medicaid Provider Spending

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

LA CLINICA LATINA LLC

NPI: 1003433830 · MILWAUKEE, WI 53204 · Clinic/Center · NPI assigned 06/27/2020

$81K
Total Medicaid Paid
4,661
Total Claims
3,752
Beneficiaries
13
Codes Billed
2020-07
First Month
2021-07
Last Month

Provider Details

Authorized OfficialMEJALLI, NEDAL (REGISTERED AGENT)
NPI Enumeration Date06/27/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,221 $28K
2021 2,440 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,072 882 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,300 1,026 $30K
80305 652 504 $4K
99401 146 133 $1K
82962 565 424 $938.70
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 27 $719.12
99000 204 166 $468.48
99402 32 26 $444.29
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 154 132 $328.87
99072 288 250 $60.00
3008F 123 110 $10.00
97802 19 14 $0.00
36415 Collection of venous blood by venipuncture 78 58 $0.00