Clinic
San Martin De Porres Medical Center INC
San Martin De Porres Medical Center INC was paid $8K by Medicaid between Apr 2019 and May 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoSAN MARTIN DE PORRES MEDICAL CENTER INC
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
33aNPI1194289967assigned 01/25/2019
33bProvider typeClinic/Center
28Total paid$8K
24GClaims973
24DCodes billed12
24AFirst – last monthApr 2019 – May 2021
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#384 of 504
Median peer was paid$102K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 182 | $3K | |
| 2020 | 412 | $4K | |
| 2021 | 379 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 74% | 628 | 541 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 103 | 100 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.1% | 15 | 15 | $341.05 |
| 90686 | 1.7% | 12 | 12 | $139.56 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 45 | 45 | $9.90 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | 12 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 40 | 40 | $0.00 |
| 3725F | 0% | 34 | 34 | $0.00 | |
| 3078F | 0% | 34 | 34 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | 13 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 17 | 17 | $0.00 |
| 3074F | 0% | 20 | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCHAN, ANGELA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Angela Sin Lway Chan MD INC | Bell Gardens, CA | $77K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.