Medicaid Provider Spending

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

SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC

NPI: 1174706345 · CHULA VISTA, CA 91910 · Family Medicine Physician · NPI assigned 12/11/2007

$11K
Total Medicaid Paid
12,968
Total Claims
12,392
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCAVA, NOLI (MEDICAL DIRECTOR)
NPI Enumeration Date12/11/2007

Related Entities

Other providers sharing the same authorized official: CAVA, NOLI

ProviderCityStateTotal Paid
DYMPHNA SAN DIEGO TMS INC CHULA VISTA CA $185K
CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC. SAN DIEGO CA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,187 $2K
2019 1,954 $2K
2020 1,730 $1K
2021 2,257 $2K
2022 2,576 $2K
2023 2,015 $2K
2024 1,249 $857.10

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,840 1,801 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,154 3,899 $5K
99442 147 140 $354.29
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 147 147 $283.15
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 507 493 $240.11
99000 661 644 $106.74
36415 Collection of venous blood by venipuncture 3,029 2,905 $102.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 182 164 $71.86
93923 12 12 $30.11
99001 819 803 $30.00
90686 26 26 $30.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 22 22 $12.48
3078F 579 542 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $0.00
1160F 71 66 $0.00
81002 24 24 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 38 38 $0.00
1159F 71 66 $0.00
3079F 41 38 $0.00
3074F 488 458 $0.00
3008F 52 48 $0.00
93000 14 14 $0.00
3075F 13 13 $0.00
99441 18 17 $0.00