LA LIBERTAD MEDICAL CLINIC INC
NPI: 1073791828
· SOUTH GATE, CA 90280
· General Practice Physician
· NPI assigned 02/04/2008
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | CHAMBI, RICARDO (PRESIDENT) |
| Parent Organization | LA LIBERTAD MEDICAL CLINIC INC |
| NPI Enumeration Date | 02/04/2008 |
Related Entities
Other providers sharing the same authorized official: CHAMBI, RICARDO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,456 |
$61K |
| 2019 |
1,235 |
$31K |
| 2020 |
165 |
$3K |
| 2021 |
44 |
$2K |
| 2022 |
364 |
$7K |
| 2023 |
244 |
$6K |
| 2024 |
326 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,224 |
1,007 |
$59K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
601 |
542 |
$35K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
714 |
672 |
$12K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,214 |
925 |
$5K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
964 |
638 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
74 |
$3K |
| 81002 |
|
41 |
39 |
$61.90 |