SAN MARTIN DE PORRES MEDICAL CLINIC OF SOUTH GATE, INC
NPI: 1134298318
· SOUTH GATE, CA 90280
· 208D00000X
$212K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
9,597 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
11,052 |
10,192 |
$73K |
| 99212 |
|
10,700 |
10,025 |
$35K |
| 99394 |
|
793 |
773 |
$30K |
| 99393 |
|
505 |
486 |
$18K |
| 92552 |
|
3,317 |
3,290 |
$14K |
| 99384 |
|
57 |
41 |
$6K |
| 99392 |
|
118 |
118 |
$5K |
| 92081 |
|
2,510 |
2,487 |
$4K |
| 96372 |
|
4,352 |
4,194 |
$4K |
| 99383 |
|
38 |
30 |
$3K |
| 90649 |
|
684 |
677 |
$3K |
| 85018 |
|
2,341 |
2,242 |
$2K |
| 90688 |
|
452 |
446 |
$2K |
| 90471 |
|
822 |
714 |
$2K |
| 99396 |
|
564 |
563 |
$2K |
| 81003 |
|
1,526 |
1,432 |
$1K |
| 99391 |
|
15 |
15 |
$1K |
| 90734 |
|
299 |
298 |
$1K |
| 90658 |
|
234 |
228 |
$1K |
| 97802 |
|
2,178 |
2,168 |
$1K |
| J1100 |
Dexamethasone sodium phos |
3,710 |
3,574 |
$872.93 |
| 90715 |
|
127 |
124 |
$666.00 |
| 90648 |
|
70 |
70 |
$414.00 |
| 90670 |
|
73 |
72 |
$396.00 |
| 90710 |
|
53 |
53 |
$332.08 |
| 86580 |
|
127 |
127 |
$324.52 |
| 90633 |
|
42 |
42 |
$324.00 |
| G0439 |
Ppps, subseq visit |
29 |
28 |
$262.88 |
| 90686 |
|
38 |
36 |
$173.83 |
| 99202 |
|
14 |
14 |
$137.92 |
| 80061 |
|
757 |
755 |
$118.47 |
| 90460 |
|
264 |
175 |
$116.04 |
| 90744 |
|
13 |
13 |
$108.00 |
| 90713 |
|
12 |
12 |
$108.00 |
| 90681 |
|
12 |
12 |
$99.00 |
| 3008F |
|
1,469 |
1,461 |
$94.06 |
| 36415 |
|
2,218 |
2,200 |
$93.84 |
| 83036 |
|
721 |
719 |
$86.77 |
| 90723 |
|
12 |
12 |
$63.00 |
| 90685 |
|
15 |
15 |
$45.00 |
| 96156 |
|
55 |
53 |
$30.53 |
| J3301 |
Triamcinolone acet inj nos |
225 |
223 |
$26.49 |
| 1157F |
|
907 |
902 |
$23.00 |
| 1170F |
|
909 |
900 |
$19.73 |
| 1160F |
|
1,453 |
1,443 |
$11.00 |
| 1036F |
|
1,301 |
1,295 |
$10.00 |
| G0447 |
Behavior counsel obesity 15m |
642 |
641 |
$9.51 |
| 96150 |
|
247 |
245 |
$7.76 |
| 1100F |
|
809 |
804 |
$0.68 |
| G8510 |
Scr dep neg, no plan reqd |
921 |
917 |
$0.53 |
| 1126F |
|
870 |
866 |
$0.00 |
| 3074F |
|
989 |
954 |
$0.00 |
| 1125F |
|
93 |
91 |
$0.00 |
| 3079F |
|
41 |
39 |
$0.00 |
| 3075F |
|
18 |
15 |
$0.00 |
| 3078F |
|
1,298 |
1,254 |
$0.00 |
| 1159F |
|
1,449 |
1,440 |
$0.00 |
| 3077F |
|
131 |
123 |
$0.00 |
| 3288F |
|
785 |
780 |
$0.00 |
| 1158F |
|
49 |
48 |
$0.00 |
| 0521F |
|
28 |
28 |
$0.00 |
| 99395 |
|
13 |
13 |
$0.00 |