Medicaid Provider Spending

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

SAN MARTIN DE PORRES MEDICAL CENTER INC

NPI: 1194289967 · PICO RIVERA, CA 90660 · 261Q00000X

$8K
Total Medicaid Paid
973
Total Claims
883
Beneficiaries
12
Codes Billed
2019-04
First Month
2021-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 182 $3K
2020 412 $4K
2021 379 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 628 541 $6K
99214 103 100 $2K
99204 15 15 $341.05
90686 12 12 $139.56
92004 45 45 $9.90
99396 12 12 $0.00
G0444 Depression screen annual 40 40 $0.00
3725F 34 34 $0.00
3078F 34 34 $0.00
90471 13 13 $0.00
G8510 Scr dep neg, no plan reqd 17 17 $0.00
3074F 20 20 $0.00