Physician
San Martin De Porres Medical Clinic of South Gate, INC
San Martin De Porres Medical Clinic of South Gate, INC was paid $212K by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSAN MARTIN DE PORRES MEDICAL CLINIC OF SOUTH GATE, INC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1134298318assigned 11/06/2006
33bProvider typeGeneral Practice Physician
28Total paid$212K
24GClaims65,566
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#80 of 474
Median peer was paid$10K
This provider vs. median20×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,497 | $41K | |
| 2019 | 12,705 | $58K | |
| 2020 | 4,894 | $17K | |
| 2021 | 8,145 | $30K | |
| 2022 | 9,291 | $31K | |
| 2023 | 12,437 | $18K | |
| 2024incomplete | 9,597 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 11,052 | 10,192 | $73K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 10,700 | 10,025 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 793 | 773 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 505 | 486 | $18K |
| 92552 | 6.8% | 3,317 | 3,290 | $14K | |
| 99384 | 2.7% | 57 | 41 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 118 | 118 | $5K |
| 92081 | 1.8% | 2,510 | 2,487 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.7% | 4,352 | 4,194 | $4K |
| 99383 | 1.5% | 38 | 30 | $3K | |
| 90649 | 1.2% | 684 | 677 | $3K | |
| 85018 | <1% | 2,341 | 2,242 | $2K |
50 more codes
| 90688 | <1% | 452 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 822 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 564 | $2K |
| 81003 | <1% | 1,526 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | $1K |
| 90734 | <1% | 299 | $1K | |
| 90658 | <1% | 234 | $1K | |
| 97802 | <1% | 2,178 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,710 | $872.93 |
| 90715 | <1% | 127 | $666.00 | |
| 90648 | <1% | 70 | $414.00 | |
| 90670 | <1% | 73 | $396.00 | |
| 90710 | <1% | 53 | $332.08 | |
| 86580 | <1% | 127 | $324.52 | |
| 90633 | <1% | 42 | $324.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 29 | $262.88 |
| 90686 | <1% | 38 | $173.83 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $137.92 |
| 80061 | Lipid panel | <1% | 757 | $118.47 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 264 | $116.04 |
| 90744 | <1% | 13 | $108.00 | |
| 90713 | <1% | 12 | $108.00 | |
| 90681 | <1% | 12 | $99.00 | |
| 3008F | <1% | 1,469 | $94.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,218 | $93.84 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 721 | $86.77 |
| 90723 | <1% | 12 | $63.00 | |
| 90685 | <1% | 15 | $45.00 | |
| 96156 | <1% | 55 | $30.53 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 225 | $26.49 |
| 1157F | <1% | 907 | $23.00 | |
| 1170F | <1% | 909 | $19.73 | |
| 1160F | <1% | 1,453 | $11.00 | |
| 1036F | <1% | 1,301 | $10.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 642 | $9.51 |
| 96150 | <1% | 247 | $7.76 | |
| 1100F | <1% | 809 | $0.68 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 921 | $0.53 |
| 1126F | 0% | 870 | $0.00 | |
| 3074F | 0% | 989 | $0.00 | |
| 1125F | 0% | 93 | $0.00 | |
| 3079F | 0% | 41 | $0.00 | |
| 3075F | 0% | 18 | $0.00 | |
| 3078F | 0% | 1,298 | $0.00 | |
| 1159F | 0% | 1,449 | $0.00 | |
| 3077F | 0% | 131 | $0.00 | |
| 3288F | 0% | 785 | $0.00 | |
| 1158F | 0% | 49 | $0.00 | |
| 0521F | 0% | 28 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCONSIGLIERI, ANA (SUPERVISOR)