Medicaid Provider Spending

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

NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC.

NPI: 1083767875 · LOS ANGELES, CA 90047 · Family Medicine Physician · NPI assigned 01/18/2007

$4K
Total Medicaid Paid
16,038
Total Claims
14,001
Beneficiaries
26
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELDESSOUKY, AMANI (PRESIDENT)
NPI Enumeration Date01/18/2007

Related Entities

Other providers sharing the same authorized official: ELDESSOUKY, AMANI

ProviderCityStateTotal Paid
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC. LOS ANGELES CA $474.72
NUEVA ESPERANZA HEALTHCARE MEDICAL CLINIC INC. LOS ANGELES CA $321.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 353 $0.00
2021 3,791 $1K
2022 2,422 $272.49
2023 5,323 $1K
2024 4,149 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,677 4,626 $3K
99406 2,475 2,254 $613.45
99401 1,963 1,775 $217.71
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 794 747 $186.78
99173 13 13 $71.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,100 832 $59.64
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 945 869 $22.26
3078F 24 24 $0.00
90863 1,336 1,206 $0.00
2014F 90 88 $0.00
96160 95 91 $0.00
99442 152 145 $0.00
1160F 54 50 $0.00
97803 31 30 $0.00
83655 13 13 $0.00
2010F 160 157 $0.00
3008F 696 669 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 226 220 $0.00
36415 Collection of venous blood by venipuncture 57 57 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 26 26 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 15 $0.00
3080F 28 27 $0.00
92551 13 13 $0.00
3079F 12 12 $0.00
3048F 27 26 $0.00
3074F 16 16 $0.00