Medicaid Provider Spending

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

CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC.

NPI: 1184834012 · SAN DIEGO, CA 92107 · Primary Care Clinic/Center · NPI assigned 05/22/2007

$7K
Total Medicaid Paid
2,445
Total Claims
2,364
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCAVA, NOLI (MEDICAL DIRECTOR)
NPI Enumeration Date05/22/2007

Related Entities

Other providers sharing the same authorized official: CAVA, NOLI

ProviderCityStateTotal Paid
DYMPHNA SAN DIEGO TMS INC CHULA VISTA CA $185K
SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC CHULA VISTA CA $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $366.60
2019 461 $966.84
2020 298 $2K
2021 202 $2K
2022 206 $1K
2023 355 $585.89
2024 751 $271.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,429 1,378 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 148 143 $919.42
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 29 $113.26
36415 Collection of venous blood by venipuncture 287 278 $81.36
99000 193 186 $24.49
1160F 101 97 $0.00
3078F 25 25 $0.00
1159F 101 97 $0.00
3008F 70 70 $0.00
3074F 50 49 $0.00
3079F 12 12 $0.00