STAR MOBILE URGENT CARE PC

NPI: 1184308454 · LOS ANGELES, CA 90017 · Emergency Care Clinic/Center · NPI assigned 06/14/2023

$169K

Total Medicaid Paid

5,588

Total Claims

5,563

Beneficiaries

Codes Billed

2023-07

First Month

2024-08

Last Month

Provider Details

Authorized Official	REYES, CHRISTIAN (OWNER)
NPI Enumeration Date	06/14/2023

Other providers sharing the same authorized official: REYES, CHRISTIAN

Provider	City	State	Total Paid
MAGNOLIA ACCESS SERVICES INC	LOS ANGELES	CA	$702K
MAGNOLIA NURSING PROFESSIONAL CORPORATION	LOS ANGELES	CA	$202K
VISTA MOBILE URGENT CARE INC	SAN FRANCISCO	CA	$2K

Year	Claims	Total Paid
2023	1,270	$35K
2024	4,318	$134K

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1,343	1,341	$82K
93000		1,222	1,222	$31K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	715	715	$21K
94375		617	617	$13K
99407		441	441	$8K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	238	235	$7K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	79	79	$4K
82948		710	710	$2K
99406		172	172	$1K
96127		51	31	$213.87