SAN LUCAS PEDIATRIC CLINIC, INC.
NPI: 1073870283
· SACRAMENTO, CA 95834
· 208000000X
$529K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,474 |
$163K |
| 2019 |
67,517 |
$8K |
| 2020 |
52,305 |
$242.84 |
| 2021 |
66,587 |
$70.00 |
| 2022 |
65,552 |
$31K |
| 2023 |
31,882 |
$215K |
| 2024 |
31,126 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
|
32,544 |
31,690 |
$134K |
| 96156 |
|
18,225 |
18,116 |
$91K |
| 99393 |
|
9,708 |
9,437 |
$67K |
| G9920 |
Scrning perf and negative |
5,479 |
5,471 |
$59K |
| 99392 |
|
8,709 |
8,531 |
$49K |
| 99394 |
|
5,973 |
5,846 |
$21K |
| 99391 |
|
3,618 |
3,481 |
$15K |
| 92551 |
|
20,006 |
19,441 |
$13K |
| G0447 |
Behavior counsel obesity 15m |
25,606 |
24,773 |
$8K |
| 99383 |
|
550 |
497 |
$7K |
| 97802 |
|
23,917 |
23,224 |
$6K |
| 99213 |
|
16,148 |
15,404 |
$6K |
| 99401 |
|
28,893 |
28,061 |
$6K |
| 99188 |
|
1,621 |
1,595 |
$6K |
| 86580 |
|
9,349 |
8,970 |
$4K |
| 85018 |
|
13,788 |
13,206 |
$4K |
| D0120 |
|
22,639 |
22,097 |
$4K |
| 90686 |
|
8,667 |
8,536 |
$4K |
| 99173 |
|
20,403 |
19,854 |
$3K |
| 99211 |
|
4,114 |
3,950 |
$3K |
| 90460 |
|
6,522 |
6,288 |
$2K |
| 90651 |
|
2,857 |
2,781 |
$2K |
| 90471 |
|
8,123 |
7,670 |
$2K |
| G9919 |
Scrn nd pos nd prov of rec |
159 |
159 |
$2K |
| 97803 |
|
6,072 |
5,944 |
$2K |
| 90472 |
|
1,744 |
1,509 |
$1K |
| 99382 |
|
182 |
177 |
$1K |
| 90716 |
|
2,680 |
2,629 |
$737.84 |
| 90733 |
|
523 |
471 |
$692.53 |
| 99212 |
|
5,194 |
4,901 |
$651.41 |
| 90670 |
|
3,526 |
3,385 |
$576.92 |
| 90461 |
|
5,925 |
5,875 |
$548.27 |
| 90744 |
|
1,931 |
1,848 |
$480.03 |
| 90707 |
|
2,576 |
2,525 |
$452.35 |
| 90633 |
|
3,019 |
2,966 |
$411.30 |
| 90700 |
|
2,051 |
1,974 |
$319.43 |
| 99384 |
|
197 |
197 |
$318.53 |
| 90710 |
|
55 |
55 |
$275.20 |
| 90619 |
|
403 |
403 |
$267.00 |
| 90620 |
|
1,337 |
1,317 |
$200.00 |
| 90680 |
|
1,934 |
1,855 |
$188.72 |
| 87502 |
|
78 |
78 |
$160.00 |
| 90697 |
|
215 |
215 |
$157.08 |
| 90685 |
|
610 |
591 |
$153.24 |
| 99214 |
|
3,046 |
2,934 |
$135.82 |
| D1206 |
|
2,413 |
2,403 |
$118.12 |
| 90696 |
|
1,139 |
1,121 |
$116.40 |
| 90713 |
|
792 |
767 |
$111.35 |
| 90715 |
|
1,282 |
1,269 |
$95.27 |
| 90698 |
|
1,553 |
1,492 |
$89.86 |
| 87880 |
|
374 |
369 |
$55.36 |
| 90647 |
|
1,696 |
1,633 |
$54.00 |
| 90671 |
|
362 |
362 |
$36.27 |
| 90734 |
|
1,809 |
1,802 |
$18.00 |
| 90650 |
|
536 |
527 |
$0.00 |
| 94760 |
|
63 |
59 |
$0.00 |
| 86403 |
|
101 |
96 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 0081A |
|
14 |
14 |
$0.00 |
| 99381 |
|
14 |
12 |
$0.00 |
| 91307 |
|
41 |
39 |
$0.00 |
| 99395 |
|
156 |
155 |
$0.00 |
| 87631 |
|
61 |
61 |
$0.00 |
| 90681 |
|
32 |
32 |
$0.00 |
| 91308 |
|
32 |
31 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |
| 99204 |
|
13 |
13 |
$0.00 |
| 91320 |
|
16 |
16 |
$0.00 |