Medicaid Provider Spending

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

THE MISSION MEDICAL CLINIC OF SANTA ANA, INC.

NPI: 1174833149 · SANTA ANA, CA 92701 · Internal Medicine Physician · NPI assigned 10/08/2010

$10K
Total Medicaid Paid
1,483
Total Claims
1,215
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialDI SARLI, EDUARDO (PHYSICIAN/OWNER)
NPI Enumeration Date10/08/2010

Related Entities

Other providers sharing the same authorized official: DI SARLI, EDUARDO

ProviderCityStateTotal Paid
LYNWOOD UNITED MEDICAL CORPORATION LYNWOOD CA $880K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,068 $9K
2019 336 $932.82
2020 79 $122.38

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57 46 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 548 430 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 42 42 $534.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 19 19 $312.67
99000 103 97 $307.77
36410 28 25 $128.17
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report 20 20 $126.82
36415 Collection of venous blood by venipuncture 31 29 $38.21
1111F 540 427 $16.87
82962 95 80 $13.84