Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › EL MONTE › SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

NPI: 1225357114 · EL MONTE, CA 91732 · Family Medicine Physician · NPI assigned 05/18/2010

$23.13M
Total Medicaid Paid
679,298
Total Claims
509,235
Beneficiaries
162
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZARE, ELLIE (SR. PROGRAM MANAGER)
NPI Enumeration Date05/18/2010

Related Entities

Other providers sharing the same authorized official: ZARE, ELLIE

ProviderCityStateTotal Paid
SOUTHERN CALIFORNIA MEDICAL CENTER, INC. PICO RIVERA CA $38.08M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,976 $2.06M
2019 73,822 $2.40M
2020 97,063 $3.59M
2021 132,773 $5.19M
2022 118,007 $3.55M
2023 127,198 $3.76M
2024 79,459 $2.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 115,502 86,947 $20.37M
00003 Internal/system code - not a standard HCPCS code 4,259 2,513 $909K
90832 Psychotherapy, 30 minutes with patient 26,734 10,185 $591K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 122,118 93,617 $289K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 100,902 80,156 $172K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18,205 16,294 $164K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,163 2,895 $79K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 4,389 3,218 $79K
90791 Psychiatric diagnostic evaluation 1,376 1,165 $60K
90834 Psychotherapy, 45 minutes with patient 2,474 1,302 $59K
H1001 Prenatal care, at-risk enhanced service; antepartum management 1,468 946 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,030 1,570 $26K
99000 30,070 24,926 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,692 1,341 $22K
0002A 1,659 1,393 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 3,767 2,083 $18K
0001A 1,712 1,422 $16K
92552 4,165 3,323 $15K
0012A 2,143 1,951 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,764 2,308 $11K
0011A 2,222 2,010 $10K
0064A 481 446 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,174 3,718 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,992 1,741 $9K
93000 1,059 911 $8K
92551 2,397 2,120 $8K
0004A 348 332 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,088 795 $6K
99384 701 597 $6K
90686 2,955 2,478 $5K
90756 2,327 2,098 $4K
97802 7,287 5,593 $4K
86328 2,505 1,772 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 12,434 4,382 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,962 4,657 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 824 588 $3K
99383 427 340 $3K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,221 4,159 $3K
99173 6,261 5,128 $3K
83026 3,257 2,770 $3K
81002 5,577 4,807 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 222 199 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,409 4,038 $2K
86580 944 928 $2K
90633 1,148 974 $2K
99385 221 211 $2K
81025 3,597 3,031 $2K
H1003 Prenatal care, at-risk enhanced service; education 616 484 $2K
97161 2,082 1,830 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 6,234 4,720 $2K
90649 1,744 1,470 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,352 1,088 $1K
0013A 51 51 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 588 564 $1K
90715 1,079 957 $1K
0003A 39 38 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 401 314 $1K
0072A 133 123 $1K
0071A 183 161 $880.00
97010 9,506 3,335 $871.72
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,372 3,922 $859.76
88142 1,229 1,116 $856.27
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 83 82 $838.52
99382 106 82 $784.77
90710 359 289 $759.55
97014 2,225 960 $746.87
90670 806 655 $742.01
82948 11,735 9,478 $719.59
92015 Determination of refractive state 1,804 1,504 $687.10
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 15 15 $668.02
97032 8,988 3,022 $658.81
97803 336 257 $646.25
59425 305 210 $640.18
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 123 90 $584.84
90674 1,099 1,068 $566.67
90697 231 182 $484.31
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 280 268 $474.62
71046 Radiologic examination, chest; 2 views 392 316 $468.58
90734 774 630 $461.55
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 257 222 $452.82
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 216 199 $451.60
90619 396 322 $434.64
J1885 Injection, ketorolac tromethamine, per 15 mg 1,299 1,131 $382.31
90620 303 242 $362.37
99381 73 63 $351.06
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $329.73
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,217 999 $309.46
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 57 51 $291.73
99441 1,157 969 $290.28
90744 324 287 $233.37
90716 355 306 $228.28
97530 Therapeutic activities, direct patient contact, each 15 minutes 707 498 $228.07
90694 60 59 $227.66
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,019 484 $191.80
90656 223 159 $171.00
99401 37 29 $161.52
90713 221 188 $156.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 806 683 $151.55
99215 Prolong outpt/office vis 77 75 $151.42
G0008 Administration of influenza virus vaccine 37 36 $142.86
72100 148 120 $137.80
99386 29 29 $129.56
90677 192 147 $126.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 975 695 $119.66
96156 14 14 $114.41
3074F 15,035 12,620 $111.66
85018 758 701 $89.87
97035 1,797 672 $84.38
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 887 597 $74.83
98940 556 430 $65.04
90648 333 282 $64.82
3044F 3,481 3,232 $64.42
99442 268 235 $63.28
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 247 242 $62.34
1000F 2,803 2,464 $61.63
3078F 13,918 11,692 $53.82
3077F 2,601 2,170 $53.70
J0696 Injection, ceftriaxone sodium, per 250 mg 371 344 $53.66
90707 148 127 $47.82
77080 47 45 $46.11
90700 141 114 $37.91
73030 43 36 $33.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg 132 127 $29.84
3079F 5,009 4,283 $28.86
90681 62 52 $26.82
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 235 222 $25.00
J1030 Injection, methylprednisolone acetate, 40 mg 20 16 $17.13
73562 14 12 $15.78
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 275 235 $9.00
90696 17 14 $8.91
3008F 6,963 6,103 $7.50
1126F 377 358 $4.50
3014F 145 138 $4.50
1111F 475 380 $3.00
81000 120 118 $2.58
3080F 1,557 1,294 $2.10
1159F 1,532 1,439 $1.50
1160F 1,503 1,413 $1.50
3075F 2,529 2,149 $0.60
Z6400 1,195 995 $0.00
3046F 102 96 $0.00
97164 143 100 $0.00
90461 142 129 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 47 24 $0.00
90661 132 112 $0.00
3050F 28 25 $0.00
3045F 103 97 $0.00
1036F 2,435 2,153 $0.00
Z1034 2,406 1,593 $0.00
Z6410 578 482 $0.00
1125F 936 901 $0.00
Z1032 130 130 $0.00
Z6406 66 53 $0.00
Z6204 44 41 $0.00
76830 Ultrasound, transvaginal 49 48 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 47 34 $0.00
90723 67 60 $0.00
J0690 Injection, cefazolin sodium, 500 mg 16 16 $0.00
90688 71 70 $0.00
3049F 13 13 $0.00
90381 21 16 $0.00
D1206 Topical application of fluoride varnish 13 13 $0.00