Medicaid Provider Spending

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

CLINICA FAMILIAR SAN LUCAS

NPI: 1043462443 · LYNWOOD, CA 90262 · Surgery Physician · NPI assigned 10/16/2008

$141K
Total Medicaid Paid
19,309
Total Claims
17,499
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFELAHY, BASIL (PRESIDENT)
NPI Enumeration Date10/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,811 $50K
2019 1,208 $22K
2020 1,039 $12K
2021 2,923 $27K
2022 4,124 $14K
2023 4,052 $8K
2024 4,152 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,272 4,753 $109K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 566 519 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,068 987 $10K
99442 156 139 $2K
92551 190 190 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $960.60
99000 1,028 986 $932.57
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72 67 $927.18
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $759.80
90686 129 128 $468.04
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $389.66
0004A 14 12 $350.18
96127 317 309 $237.22
96156 46 44 $220.00
82947 167 145 $127.08
81002 168 168 $82.80
81000 128 120 $32.14
0072A 13 12 $30.00
92499 93 93 $10.61
36415 Collection of venous blood by venipuncture 251 247 $10.20
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $9.00
3078F 1,141 1,051 $0.00
3077F 160 140 $0.00
99173 37 37 $0.00
3075F 580 549 $0.00
3074F 2,233 1,980 $0.00
3008F 3,441 2,975 $0.00
3080F 133 120 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 40 39 $0.00
3079F 1,786 1,609 $0.00
99441 13 13 $0.00