Medicaid Provider Spending

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

GUADALUPE MEDICAL GROUP

NPI: 1053902734 · LOS ANGELES, CA 90026 · Internal Medicine Physician · NPI assigned 01/27/2021

$8K
Total Medicaid Paid
1,264
Total Claims
1,094
Beneficiaries
8
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBONZON, TEODULO (OPERATING PROVIDER)
NPI Enumeration Date01/27/2021

Related Entities

Other providers sharing the same authorized official: BONZON, TEODULO

ProviderCityStateTotal Paid
MAXICARE SENIOR HOME, LLC LANCASTER CA $4.78M
LEVANTA COUNSELING SERVICESS LLC GLENDALE CA $718K
SOLTA DEVELOPMENT LLC LONG BEACH CA $307K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 174 $3K
2023 458 $3K
2024 632 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 843 765 $3K
99337 98 64 $2K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 151 150 $1K
99336 64 58 $954.94
99232 Subsequent hospital care, per day, moderate complexity 63 13 $469.42
99348 19 19 $291.16
99350 Prolong home eval add 15m 13 12 $0.00
90834 Psychotherapy, 45 minutes with patient 13 13 $0.00