Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Samaritana Medical Clinic,inc.

Samaritana Medical Clinic,inc. was paid $96K by Medicaid between Jan 2018 and Oct 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoSAMARITANA MEDICAL CLINIC,INC.
LOS ANGELES, CA 90057
33aNPI1073706289assigned 08/21/2007
28Total paid$96K
24GClaims22,507
24DCodes billed37
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#641 of 2,511
Median peer was paid$13K
This provider vs. median7.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,534$17K
20196,224$69K
2020739$4K
2021111$3K
2022917$685.55
20234,239$583.22
2024incomplete4,743$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 8,540 7,159 $58K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.1% 1,318 1,201 $9K
92081 6.1% 332 332 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.8% 106 106 $5K
97802 2.9% 225 225 $3K
11721 2.6% 609 587 $2K
92551 2.4% 425 425 $2K
96150 1.8% 195 194 $2K
82947 1.6% 4,333 3,613 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 32 32 $1K
71046 Radiologic examination, chest; 2 views 1.1% 49 49 $1K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1.1% 17 17 $1K
25 more codes
99384 <1% 26 $651.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 443 $605.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 100 $573.80
85018 <1% 478 $459.20
81000 <1% 368 $430.95
93000 <1% 41 $426.15
11056 <1% 424 $302.87
90651 <1% 43 $198.00
90734 <1% 40 $189.00
90715 <1% 16 $117.00
90620 <1% 46 $108.00
99000 <1% 1,225 $57.48
90656 <1% 45 $11.25
3008F 0% 2,340 $0.00
3074F 0% 100 $0.00
11730 0% 12 $0.00
99172 0% 43 $0.00
1126F 0% 54 $0.00
1125F 0% 32 $0.00
99203 Doctor's office visit, new patient (routine) 0% 14 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 38 $0.00
3078F 0% 313 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 38 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 20 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 27 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialROMERO, RAYMUNDO (DIRECTOR)
Same official

Other billing entities under ROMERO, RAYMUNDO

Full network →
ProviderLocationPaid
Samaritana Medical Clinic Duarte INCDuarte, CA$405.32

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.