Medicaid Provider Spending

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

LA MAESTRA FAMILY CLINIC INC

NPI: 1134590086 · EL CAJON, CA 92021 · Federally Qualified Health Center (FQHC) · NPI assigned 10/16/2015

$8K
Total Medicaid Paid
53,962
Total Claims
51,680
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVU, TOM (DIRECTOR OF RISK AND COMPLIANCE)
NPI Enumeration Date10/16/2015

Related Entities

Other providers sharing the same authorized official: VU, TOM

ProviderCityStateTotal Paid
LA MAESTRA FAMILY CLINIC, INC. SAN DIEGO CA $1.32M
TOM VU DENTAL CORP HUNTINGTON BEACH CA $298K
TOM VU DENTAL CORP LA HABRA CA $25K
LA MAESTRA FAMILY CLINIC INC. EL CAJON CA $12K
LA MAESTRA FAMILY CLINIC, INC. SAN DIEGO CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 688 $541.20
2022 3,917 $0.00
2023 29,704 $96.00
2024 19,653 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,191 6,999 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 441 412 $562.50
99000 2,786 2,653 $507.10
92081 903 903 $494.25
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 238 237 $228.80
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 125 125 $205.80
90686 461 460 $143.00
92551 897 894 $142.80
83036 Hemoglobin; glycosylated (A1C) 1,827 1,825 $34.16
96156 958 955 $6.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 534 529 $1.00
1036F 1,374 1,374 $0.00
1031F 1,370 1,370 $0.00
99441 2,412 2,216 $0.00
82746 720 720 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,840 1,836 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,550 1,544 $0.00
3044F 460 455 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 196 191 $0.00
82607 830 830 $0.00
81001 738 731 $0.00
S9452 Nutrition classes, non-physician provider, per session 1,426 1,400 $0.00
3074F 1,328 1,276 $0.00
84443 Thyroid stimulating hormone (TSH) 1,836 1,834 $0.00
3075F 334 333 $0.00
99443 901 845 $0.00
85018 351 350 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 181 181 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 95 95 $0.00
3079F 742 716 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 247 247 $0.00
88142 21 20 $0.00
86592 91 91 $0.00
90656 139 139 $0.00
H0049 Alcohol and/or drug screening 728 713 $0.00
3008F 1,146 1,146 $0.00
S9451 Exercise classes, non-physician provider, per session 1,345 1,324 $0.00
36415 Collection of venous blood by venipuncture 2,372 2,331 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 219 219 $0.00
3080F 17 15 $0.00
80053 Comprehensive metabolic panel 2,017 1,998 $0.00
84153 25 25 $0.00
90480 15 15 $0.00
99403 21 16 $0.00
90651 39 39 $0.00
1000F 26 26 $0.00
80061 Lipid panel 1,927 1,922 $0.00
3077F 92 85 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 660 660 $0.00
99442 2,753 2,484 $0.00
3078F 1,016 980 $0.00
90461 206 206 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 181 181 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 26 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 66 66 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 751 742 $0.00
3725F 677 670 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 881 799 $0.00
98960 38 31 $0.00
80074 26 26 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 96 96 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $0.00
86480 28 28 $0.00
91320 12 12 $0.00