SAN LUCAS MEDICAL CLINIC, INC.
NPI: 1114231354
· LOS ANGELES, CA 90057
· General Practice Physician
· NPI assigned 07/29/2010
$659K
Total Medicaid Paid
Provider Details
| Authorized Official | HINOJOSA, VITAL (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 07/29/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,821 |
$438K |
| 2019 |
2,371 |
$153K |
| 2023 |
299 |
$30K |
| 2024 |
382 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,803 |
2,521 |
$491K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,411 |
1,183 |
$126K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,496 |
2,496 |
$32K |
| 99000 |
|
2,818 |
2,617 |
$10K |
| 81025 |
|
305 |
304 |
$849.80 |
| 81002 |
|
40 |
40 |
$68.80 |