CLINICA MEDICA FAMILIAR SAN JUDAS INC
NPI: 1225254055
· LOS ANGELES, CA 90020
· Pulmonary Disease Physician
· NPI assigned 04/18/2007
Provider Details
| Authorized Official | ORTIZ, JOSE (OWNER) |
| NPI Enumeration Date | 04/18/2007 |
Related Entities
Other providers sharing the same authorized official: ORTIZ, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,742 |
$5K |
| 2019 |
7,226 |
$4K |
| 2020 |
3,873 |
$2K |
| 2021 |
3,072 |
$4K |
| 2022 |
3,353 |
$2K |
| 2023 |
3,884 |
$156.75 |
| 2024 |
1,626 |
$45.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,445 |
2,346 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,890 |
1,819 |
$4K |
| 3074F |
|
2,692 |
2,637 |
$789.10 |
| 1160F |
|
2,850 |
2,752 |
$573.45 |
| 1159F |
|
2,829 |
2,734 |
$511.21 |
| 99442 |
|
322 |
315 |
$379.36 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
126 |
88 |
$297.36 |
| 99401 |
|
13 |
12 |
$292.88 |
| 1126F |
|
2,132 |
2,072 |
$278.57 |
| 3061F |
|
173 |
172 |
$271.90 |
| 3008F |
|
3,143 |
3,030 |
$253.44 |
| 3078F |
|
3,152 |
3,050 |
$241.96 |
| 0521F |
|
389 |
380 |
$193.22 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$180.62 |
| G9920 |
Screening performed and negative |
170 |
170 |
$150.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$76.48 |
| 85018 |
|
43 |
43 |
$15.64 |
| 96127 |
|
46 |
46 |
$9.09 |
| 3077F |
|
128 |
126 |
$0.00 |
| 3015F |
|
217 |
216 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 3342F |
|
14 |
14 |
$0.00 |
| 2022F |
|
18 |
18 |
$0.00 |
| 2028F |
|
46 |
46 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
14 |
14 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 1125F |
|
556 |
547 |
$0.00 |
| 1036F |
|
1,888 |
1,854 |
$0.00 |
| 1000F |
|
1,138 |
1,125 |
$0.00 |
| 1111F |
|
266 |
260 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 3017F |
|
178 |
174 |
$0.00 |
| 97802 |
|
139 |
139 |
$0.00 |
| 4050F |
|
96 |
96 |
$0.00 |
| 4210F |
|
12 |
12 |
$0.00 |
| 3075F |
|
76 |
76 |
$0.00 |
| 3014F |
|
189 |
188 |
$0.00 |
| 1170F |
|
46 |
36 |
$0.00 |
| 3079F |
|
34 |
34 |
$0.00 |
| 3341F |
|
54 |
52 |
$0.00 |
| 3049F |
|
28 |
28 |
$0.00 |
| 4188F |
|
24 |
24 |
$0.00 |
| 3048F |
|
26 |
26 |
$0.00 |
| 1157F |
|
44 |
38 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |