Medicaid Provider Spending

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

LIZARRAGA MEDICAL CLINIC INC.

NPI: 1124519855 · COLTON, CA 92324 · Primary Care Clinic/Center · NPI assigned 05/30/2018

$0.00
Total Medicaid Paid
1,435
Total Claims
1,300
Beneficiaries
13
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIZARRAGA, JUAN (MD/OWNER)
NPI Enumeration Date05/30/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 55 $0.00
2024 1,380 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9920 Screening performed and negative 78 76 $0.00
3078F 60 58 $0.00
3077F 17 14 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00
H0049 Alcohol and/or drug screening 75 75 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 81 81 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 963 840 $0.00
3074F 64 61 $0.00
3079F 28 28 $0.00
3075F 12 12 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 18 18 $0.00
3080F 14 12 $0.00