Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › T H E CLINIC INC

T H E CLINIC INC

NPI: 1023287679 · LOS ANGELES, CA 90062 · Clinic/Center · NPI assigned 02/28/2008

$49.92M
Total Medicaid Paid
1,365,502
Total Claims
1,182,237
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPHILLIPS, RISE (PRESIDENT/CEO)
NPI Enumeration Date02/28/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110,222 $6.61M
2019 189,749 $6.52M
2020 168,980 $6.58M
2021 183,697 $7.69M
2022 200,670 $6.38M
2023 220,890 $7.93M
2024 291,294 $8.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 294,682 226,155 $44.41M
00003 Internal/system code - not a standard HCPCS code 18,036 14,983 $4.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 86,597 77,320 $544K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,706 16,005 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26,205 21,986 $82K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 506 506 $77K
98942 17,628 11,416 $64K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,242 3,192 $63K
G9012 Other specified case management service not elsewhere classified 1,642 856 $56K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,954 13,770 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,913 13,734 $20K
97803 22,956 20,202 $19K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,055 2,055 $11K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 52,223 46,278 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,675 2,670 $8K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 752 624 $8K
0012A 399 311 $8K
90837 Psychotherapy, 53 minutes with patient 1,638 1,197 $8K
0011A 427 324 $8K
90649 923 922 $8K
80061 Lipid panel 18,344 18,260 $7K
0002A 332 257 $7K
0519 57 39 $6K
0001A 333 267 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,512 2,506 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,508 8,455 $5K
81528 Oncology (colorectal) screening, quantitative real-time target and signal amplification 1,537 1,524 $5K
97810 2,602 2,087 $5K
97811 2,580 2,070 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,276 22,052 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,219 1,179 $4K
81025 5,891 5,626 $4K
90686 4,969 4,963 $4K
80053 Comprehensive metabolic panel 21,245 21,031 $4K
83036 Hemoglobin; glycosylated (A1C) 22,907 22,605 $4K
80074 8,231 8,162 $3K
0013A 140 104 $3K
86592 12,195 11,952 $3K
77067 Screening mammography, bilateral, including computer-aided detection 1,428 1,414 $3K
84443 Thyroid stimulating hormone (TSH) 10,114 10,051 $3K
90658 789 788 $3K
J3490 Unclassified drugs 33 17 $3K
0004A 107 78 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,762 10,561 $2K
99215 Prolong outpt/office vis 1,014 994 $2K
90791 Psychiatric diagnostic evaluation 290 284 $2K
83655 2,444 2,436 $2K
0071A 118 99 $2K
86689 2,542 2,520 $2K
97802 2,237 2,132 $1K
81001 16,638 16,419 $1K
57410 305 300 $1K
90633 685 684 $1K
90734 389 389 $1K
99205 Prolong outpt/office vis 57 57 $1K
G9008 Coordinated care fee, physician coordinated care oversight services 14 12 $1K
88141 1,724 1,711 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,190 5,156 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 494 489 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 586 570 $1K
86701 511 505 $1K
99442 8,861 8,477 $964.62
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,026 1,023 $932.21
90472 Immunization administration, each additional vaccine (list separately) 3,550 3,525 $882.96
0072A 56 47 $855.14
H1003 Prenatal care, at-risk enhanced service; education 371 367 $839.59
82274 3,674 3,642 $779.88
99358 Prolong nursin fac eval 15m 658 576 $763.00
90670 708 708 $719.71
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 343 342 $713.32
86580 1,287 1,237 $665.59
82948 11,016 10,417 $641.31
36415 Collection of venous blood by venipuncture 18,958 18,143 $633.32
85018 5,340 5,270 $601.12
94760 1,960 1,878 $591.18
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,031 997 $582.60
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 658 652 $581.56
87799 425 411 $580.30
87512 425 411 $567.96
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 107 107 $565.28
90698 406 406 $527.55
87481 425 411 $498.69
81000 5,768 4,697 $482.06
99441 7,079 6,825 $407.49
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 107 107 $395.64
3044F 3,453 3,395 $386.50
86703 350 348 $385.01
3008F 48,504 43,162 $368.01
90715 170 170 $355.90
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 421 418 $353.10
3078F 51,968 47,194 $347.44
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 28,518 24,725 $339.54
90744 233 232 $332.65
3077F 6,256 5,884 $323.47
90656 198 198 $311.15
87081 257 253 $264.66
82043 2,717 2,697 $237.51
90680 40 40 $213.00
92250 69 69 $208.55
82270 3,458 3,426 $193.10
99000 1,387 1,379 $180.91
S3645 Hiv-1 antibody testing of oral mucosal transudate 3,243 3,149 $168.00
3046F 2,567 2,518 $156.00
87490 854 848 $150.00
82728 504 501 $149.16
3075F 8,822 8,432 $138.85
90677 194 194 $124.50
3074F 53,523 48,548 $119.88
90792 Psychiatric diagnostic evaluation with medical services 85 85 $102.22
84153 402 397 $98.06
3045F 2,635 2,597 $90.00
92015 Determination of refractive state 1,263 1,249 $80.02
82746 427 427 $79.51
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 224 222 $78.88
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 30 30 $75.00
90716 25 25 $75.00
88142 99 98 $74.20
3079F 15,434 14,612 $74.02
87070 505 501 $73.12
1170F 30,043 27,805 $69.00
90834 Psychotherapy, 45 minutes with patient 184 158 $66.49
84436 457 453 $61.45
J1050 Injection, medroxyprogesterone acetate, 1 mg 24 24 $60.00
87536 194 194 $59.00
90710 76 76 $50.00
83550 120 120 $48.24
86480 49 49 $40.00
99401 317 317 $39.86
86803 166 166 $37.71
D1206 Topical application of fluoride varnish 45 39 $31.50
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 3,242 2,934 $30.00
87650 87 86 $30.00
84702 88 81 $26.48
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 37 34 $24.66
91301 749 729 $22.30
80076 61 61 $19.14
83540 132 130 $16.98
86804 62 62 $16.52
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,055 736 $15.00
80048 Basic metabolic panel (calcium, ionized) 115 114 $15.00
91307 155 147 $13.38
87340 66 66 $9.91
90621 12 12 $9.00
91300 542 502 $4.46
82272 119 119 $2.53
1160F 10,553 10,029 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 153 151 $0.00
3015F 2,027 1,877 $0.00
1159F 21,409 18,671 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 531 512 $0.00
4145F 218 205 $0.00
90700 36 36 $0.00
0502F 1,474 1,081 $0.00
H0006 Alcohol and/or drug services; case management 126 91 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 13 12 $0.00
86709 23 22 $0.00
G8482 Influenza immunization administered or previously received 549 537 $0.00
2028F 169 168 $0.00
G8785 Blood pressure reading not documented, reason not given 146 141 $0.00
86360 177 177 $0.00
81329 24 24 $0.00
84146 12 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 166 162 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 310 187 $0.00
99409 83 63 $0.00
82465 12 12 $0.00
D0220 Intraoral - periapical first radiographic image 61 27 $0.00
90648 12 12 $0.00
2022F 12 12 $0.00
90707 13 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 33 32 $0.00
S0613 Annual gynecological examination; clinical breast examination without pelvic evaluation 14 14 $0.00
82652 25 25 $0.00
00001 6,209 5,022 $0.00
3080F 2,142 2,040 $0.00
00018 169,053 127,045 $0.00
1125F 3,369 2,963 $0.00
3017F 158 146 $0.00
S9451 Exercise classes, non-physician provider, per session 12,053 11,734 $0.00
1126F 730 695 $0.00
2023F 142 142 $0.00
D1330 1,046 722 $0.00
D0120 Periodic oral evaluation - established patient 275 275 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,953 2,854 $0.00
D9999 Unspecified adjunctive procedure, by report 22 17 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 16 16 $0.00
0501F 266 194 $0.00
99443 99 98 $0.00
3066F 2,381 2,364 $0.00
3014F 259 239 $0.00
87807 12 12 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 404 404 $0.00
86593 597 593 $0.00
87181 145 143 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 166 161 $0.00
86140 40 40 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 37 37 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41 40 $0.00
92551 274 274 $0.00
90657 12 12 $0.00
D1310 47 35 $0.00
99172 275 275 $0.00
98943 23 23 $0.00
90696 12 12 $0.00
82950 26 25 $0.00
90732 13 13 $0.00
82607 29 28 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 16 15 $0.00