KIM YOUNGRAE MEDICAL, INC

NPI: 1275242083 · BUENA PARK, CA 90621 · Rheumatology Physician · NPI assigned 11/21/2022

$43K

Total Medicaid Paid

2,040

Total Claims

1,073

Beneficiaries

Codes Billed

2023-08

First Month

2024-07

Last Month

Provider Details

Authorized Official	KIM, NICHOLAS (PRESIDENT)
NPI Enumeration Date	11/21/2022

Other providers sharing the same authorized official: KIM, NICHOLAS

Provider	City	State	Total Paid
LIFETIME DENTAL CARE	OXNARD	CA	$5.89M
LIFETIME DENTAL CARE	OXNARD	CA	$3.61M
LIFETIME DENTAL CARE	SANTA PAULA	CA	$2.36M

Year	Claims	Total Paid
2023	566	$15K
2024	1,474	$29K

Code	Description	Claims	Beneficiaries	Total Paid
J7332	Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg	606	205	$38K
20611		651	236	$4K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	283	216	$874.91
20551		104	95	$589.81
J1020	Injection, methylprednisolone acetate, 20 mg	153	118	$169.63
20550		92	78	$163.03
76942		57	52	$79.90
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	68	56	$31.34
J1010	Injection, methylprednisolone acetate, 1 mg	26	17	$14.38