Medicaid Provider Spending

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

PUEBLO MEDICAL CENTER INC

NPI: 1265737043 · STANTON, CA 90680 · Clinic/Center · NPI assigned 01/25/2011

$128K
Total Medicaid Paid
2,789
Total Claims
2,668
Beneficiaries
3
Codes Billed
2021-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHARKOFF, JAMES (PRESIDENT)
NPI Enumeration Date01/25/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 230 $14K
2022 886 $47K
2023 976 $39K
2024 697 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,339 2,254 $111K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 435 399 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $769.52