Medicaid Provider Spending

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

NUESTRA FAMILIA MEDICAL GROUP INC

NPI: 1114048600 · ORANGE, CA 92868 · Health Maintenance Organization · NPI assigned 04/02/2007

$71.72
Total Medicaid Paid
940
Total Claims
888
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialKAM, LILY (CFO)
NPI Enumeration Date04/02/2007

Related Entities

Other providers sharing the same authorized official: KAM, LILY

ProviderCityStateTotal Paid
PROSPECT MEDICAL GROUP, INC. ORANGE CA $209K
PROSPECT PROFESSIONAL CARE MEDICAL GROUP, INC. SANTA ANA CA $10K
PROSPECT HEALTHSOURCE MEDICAL GROUP INC ORANGE CA $571.69

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 940 $71.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
83036 Hemoglobin; glycosylated (A1C) 40 40 $71.72
80053 Comprehensive metabolic panel 101 101 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 462 411 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 120 120 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 14 $0.00
84443 Thyroid stimulating hormone (TSH) 80 80 $0.00
81003 18 18 $0.00
80061 Lipid panel 91 90 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 14 $0.00