CLINICA MEDICA FAMILIAR-PHN, INC
NPI: 1275656761
· RIALTO, CA 92376
· 207Q00000X
$233K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,085 |
$93K |
| 2019 |
274 |
$22K |
| 2020 |
711 |
$16K |
| 2021 |
6,300 |
$18K |
| 2022 |
11,093 |
$13K |
| 2023 |
23,397 |
$55K |
| 2024 |
22,634 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,422 |
5,919 |
$117K |
| 99203 |
|
222 |
216 |
$44K |
| 99212 |
|
3,067 |
2,848 |
$21K |
| 99383 |
|
91 |
81 |
$10K |
| 99214 |
|
1,277 |
1,175 |
$8K |
| 99384 |
|
74 |
74 |
$7K |
| 99394 |
|
308 |
308 |
$5K |
| 92551 |
|
2,091 |
2,082 |
$3K |
| 97802 |
|
4,032 |
3,762 |
$3K |
| 99393 |
|
160 |
159 |
$2K |
| G8510 |
Scr dep neg, no plan reqd |
2,786 |
2,745 |
$2K |
| 99211 |
|
87 |
82 |
$2K |
| 96156 |
|
818 |
812 |
$2K |
| 96110 |
|
77 |
77 |
$1K |
| G9920 |
Scrning perf and negative |
2,127 |
2,061 |
$1K |
| 90686 |
|
183 |
183 |
$907.98 |
| S9445 |
Pt education noc individ |
55 |
55 |
$699.60 |
| 90633 |
|
81 |
81 |
$603.00 |
| 90734 |
|
128 |
128 |
$603.00 |
| 90649 |
|
117 |
117 |
$540.00 |
| 99385 |
|
27 |
27 |
$287.06 |
| 90713 |
|
55 |
55 |
$279.00 |
| 96127 |
|
47 |
47 |
$223.29 |
| 90715 |
|
31 |
31 |
$207.00 |
| A4267 |
Male condom |
12 |
12 |
$133.08 |
| 99395 |
|
152 |
151 |
$129.90 |
| 99396 |
|
393 |
392 |
$112.20 |
| 86580 |
|
44 |
42 |
$95.95 |
| G8431 |
Pos clin depres scrn f/u doc |
207 |
206 |
$60.00 |
| 90620 |
|
13 |
13 |
$54.00 |
| 81025 |
|
25 |
25 |
$50.52 |
| 81002 |
|
15 |
15 |
$25.63 |
| 90471 |
|
299 |
268 |
$22.30 |
| 99000 |
|
196 |
189 |
$6.54 |
| T1014 |
Telehealth transmit, per min |
26 |
24 |
$6.24 |
| 81003 |
|
26 |
26 |
$2.98 |
| 99173 |
|
1,814 |
1,801 |
$2.30 |
| 3078F |
|
2,943 |
2,780 |
$0.00 |
| 1159F |
|
1,571 |
1,487 |
$0.00 |
| 96160 |
|
3,132 |
3,010 |
$0.00 |
| G0444 |
Depression screen annual |
3,297 |
3,247 |
$0.00 |
| 1160F |
|
1,258 |
1,203 |
$0.00 |
| 4004F |
|
2,712 |
2,563 |
$0.00 |
| 99408 |
|
1,909 |
1,861 |
$0.00 |
| 99442 |
|
1,126 |
1,071 |
$0.00 |
| 3077F |
|
391 |
366 |
$0.00 |
| 99448 |
|
66 |
63 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
104 |
99 |
$0.00 |
| 99446 |
|
635 |
586 |
$0.00 |
| 90460 |
|
12 |
12 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 90472 |
|
12 |
12 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
75 |
75 |
$0.00 |
| 3051F |
|
15 |
14 |
$0.00 |
| 3074F |
|
3,699 |
3,465 |
$0.00 |
| 99447 |
|
471 |
449 |
$0.00 |
| 1036F |
|
3,700 |
3,477 |
$0.00 |
| 99441 |
|
1,563 |
1,479 |
$0.00 |
| 96161 |
|
370 |
360 |
$0.00 |
| H0049 |
Alcohol/drug screening |
2,741 |
2,571 |
$0.00 |
| 3075F |
|
682 |
650 |
$0.00 |
| 3008F |
|
2,907 |
2,681 |
$0.00 |
| 3079F |
|
1,605 |
1,518 |
$0.00 |
| 1126F |
|
180 |
172 |
$0.00 |
| 3080F |
|
114 |
111 |
$0.00 |
| 87110 |
|
14 |
13 |
$0.00 |
| 99443 |
|
142 |
135 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
260 |
260 |
$0.00 |
| 88142 |
|
16 |
15 |
$0.00 |
| 3044F |
|
35 |
34 |
$0.00 |
| 1125F |
|
82 |
81 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |
| 36415 |
|
41 |
41 |
$0.00 |