Managed care
Santo Tomas Medical Clinic INC
Santo Tomas Medical Clinic INC was paid $3K by Medicaid between Jan 2018 and Jun 2019, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoSANTO TOMAS MEDICAL CLINIC INC
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1255400669assigned 11/07/2006
33bProvider typePoint of Service
28Total paid$3K
24GClaims589
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#36 of 45
Median peer was paid$42K
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 | |
|---|---|---|---|
| 2018 | 397 | $2K | |
| 2019 | 192 | $819.68 |
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 | 100% | 509 | 442 | $3K |
| 1160F | 0% | 14 | 14 | $0.00 | |
| 3008F | 0% | 17 | 17 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | 17 | $0.00 |
| 1157F | 0% | 16 | 16 | $0.00 | |
| 1170F | 0% | 16 | 16 | $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 officialAGUILAR, VIRGINIA (PCP)
| Provider | Location | Paid |
|---|---|---|
| Serenity Group Family Therapy | Rancho Cucamonga, CA | $414K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.