SAN MARTIN DE PORRES MEDICAL CLINIC INC
NPI: 1215953609
· PICO RIVERA, CA 90660
· General Practice Physician
· NPI assigned 07/15/2006
Provider Details
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 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,737 |
1,481 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
89 |
73 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
22 |
$566.05 |
| 92552 |
|
48 |
48 |
$516.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
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 |