LA MAESTRA FAMILY CLINIC, INC.
NPI: 1073177739
· SAN DIEGO, CA 92105
· Health Service Clinic/Center
· NPI assigned 04/29/2019
$1.32M
Total Medicaid Paid
Provider Details
| Authorized Official | VU, TOM (CHIEF OF CORPORATE COMPLIANCE) |
| NPI Enumeration Date | 04/29/2019 |
Related Entities
Other providers sharing the same authorized official: VU, TOM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
475 |
$4K |
| 2021 |
2,382 |
$13K |
| 2022 |
7,825 |
$542K |
| 2023 |
6,788 |
$593K |
| 2024 |
979 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
13,533 |
3,406 |
$950K |
| H0043 |
Supported housing, per diem |
1,693 |
787 |
$278K |
| S5165 |
Home modifications; per service |
366 |
130 |
$73K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
2,857 |
986 |
$17K |