NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.
NPI: 1063781565
· LOS ANGELES, CA 90047
· Family Medicine Physician
· NPI assigned 12/29/2011
$474.72
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ELDESSOUKY, AMANI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
193 |
$132.75 |
| 2019 |
548 |
$283.21 |
| 2020 |
237 |
$5.00 |
| 2023 |
168 |
$17.92 |
| 2024 |
324 |
$35.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
231 |
$215.44 |
| 3008F |
|
281 |
272 |
$181.25 |
| 99406 |
|
251 |
233 |
$31.03 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
128 |
$27.00 |
| 1160F |
|
39 |
39 |
$6.00 |
| 1159F |
|
40 |
40 |
$6.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$5.00 |
| 3078F |
|
12 |
12 |
$3.00 |
| 0509F |
|
15 |
15 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
43 |
38 |
$0.00 |
| 1101F |
|
15 |
15 |
$0.00 |
| 2010F |
|
15 |
15 |
$0.00 |
| 1220F |
|
15 |
15 |
$0.00 |
| 99407 |
|
17 |
13 |
$0.00 |
| 1170F |
|
15 |
15 |
$0.00 |
| 0518F |
|
15 |
15 |
$0.00 |
| 99442 |
|
71 |
69 |
$0.00 |
| 99401 |
|
60 |
52 |
$0.00 |
| 0521F |
|
15 |
15 |
$0.00 |
| 90863 |
|
60 |
53 |
$0.00 |
| 1090F |
|
15 |
15 |
$0.00 |
| 1003F |
|
15 |
15 |
$0.00 |
| 2014F |
|
15 |
15 |
$0.00 |