SAN ANTONIO MEDICAL CLINIC, INC.
NPI: 1285845503
· LA HABRA, CA 90631
· Primary Care Clinic/Center
· NPI assigned 05/25/2007
$205K
Total Medicaid Paid
Provider Details
| Authorized Official | ALAS, JUAN (PRESIDENT) |
| NPI Enumeration Date | 05/25/2007 |
Related Entities
Other providers sharing the same authorized official: ALAS, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
802 |
$56K |
| 2019 |
282 |
$21K |
| 2020 |
256 |
$19K |
| 2021 |
412 |
$29K |
| 2022 |
350 |
$23K |
| 2023 |
574 |
$37K |
| 2024 |
369 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,342 |
1,158 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
874 |
842 |
$48K |
| 81025 |
|
793 |
772 |
$2K |
| 96156 |
|
24 |
24 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$172.25 |