Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SONOMA › SONOMA FAMILY PRACTICE MEDICAL ASSOCIATES P C

SONOMA FAMILY PRACTICE MEDICAL ASSOCIATES P C

NPI: 1063502821 · SONOMA, CA 95476 · Family Medicine Physician · NPI assigned 10/13/2006

$4K
Total Medicaid Paid
220
Total Claims
209
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialVILLALOBOS, CYNTHIA (OFFICE MANAGER)
NPI Enumeration Date10/13/2006

Related Entities

Other providers sharing the same authorized official: VILLALOBOS, CYNTHIA

ProviderCityStateTotal Paid
OPTICAL FACTORY INC ISLA VERDE PR $291K
MY OPTICAL FACTORY LLC FAJARDO PR $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 220 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153 144 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67 65 $2K