MD24 SAN DIEGO, INC.

NPI: 1053898395 · COSTA MESA, CA 92626 · Family Medicine Physician · NPI assigned 07/19/2018

$40K

Total Medicaid Paid

1,732

Total Claims

1,606

Beneficiaries

Codes Billed

2020-10

First Month

2021-04

Last Month

Provider Details

Authorized Official	NGUYEN, LINH (CEO)
NPI Enumeration Date	07/19/2018

Other providers sharing the same authorized official: NGUYEN, LINH

Provider	City	State	Total Paid
FRIENDLY CONNECTIONS INC	RIDGEWOOD	NY	$12.84M
MD24, INC.	SURPRISE	AZ	$2.40M
FOOT CLINIC OF GRETNA ,LLC.	GRETNA	LA	$24K
FOUR CORNERS RADIATION ONCOLOGY PC	FARMINGTON	NM	$2K
ICARE PHARMACY 2	HOLLISTER	CA	$0.00

Year	Claims	Total Paid
2020	517	$10K
2021	1,215	$30K

Code	Description	Claims	Beneficiaries	Total Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1,074	969	$14K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	224	222	$14K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	226	224	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	100	95	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	108	96	$2K