Medicaid Provider Spending

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

SAN MARTIN DE PORRES MEDICAL CLINIC INC

NPI: 1215953609 · PICO RIVERA, CA 90660 · 208D00000X

$23K

Total Medicaid Paid

2,081

Total Claims

1,809

Beneficiaries

11

Codes Billed

2018-01

First Month

2019-08

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,506	$14K
2019	575	$9K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213		1,737	1,481	$17K
99212		89	73	$4K
99204		22	22	$566.05
92552		48	48	$516.60
99214		12	12	$237.95
99000		41	41	$145.96
81002		76	76	$130.48
90651		16	16	$99.00
90686		15	15	$99.00
85018		12	12	$19.68
99386		13	13	$0.00