Medicaid Provider Spending

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

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
18,449
Total Claims
5,309
Beneficiaries
4
Codes Billed
2020-09
First Month
2024-07
Last Month

Provider Details

Authorized OfficialVU, TOM (CHIEF OF CORPORATE COMPLIANCE)
NPI Enumeration Date04/29/2019

Related Entities

Other providers sharing the same authorized official: VU, TOM

ProviderCityStateTotal Paid
TOM VU DENTAL CORP HUNTINGTON BEACH CA $298K
TOM VU DENTAL CORP LA HABRA CA $25K
LA MAESTRA FAMILY CLINIC INC. EL CAJON CA $12K
LA MAESTRA FAMILY CLINIC INC EL CAJON CA $8K
LA MAESTRA FAMILY CLINIC, INC. SAN DIEGO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 475 $4K
2021 2,382 $13K
2022 7,825 $542K
2023 6,788 $593K
2024 979 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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