Medicaid Provider Spending

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

SAN FERNANDO COMMUNITY HEALTH CENTER

NPI: 1093151821 · SAN FERNANDO, CA 91340 · Clinic/Center · NPI assigned 05/20/2013

$4K
Total Medicaid Paid
3,528
Total Claims
2,631
Beneficiaries
5
Codes Billed
2018-10
First Month
2019-12
Last Month

Provider Details

Authorized OfficialSIMONS, AUDREY (ADMINSTRATOR)
NPI Enumeration Date05/20/2013

Related Entities

Other providers sharing the same authorized official: SIMONS, AUDREY

ProviderCityStateTotal Paid
SAN FERNANDO COMMUNITY HOSPITAL SAN FERNANDO CA $31.08M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 373 $148.01
2019 3,155 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 749 578 $4K
0001F 735 536 $0.00
3008F 1,014 751 $0.00
2001F 1,015 752 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 14 $0.00