Medicaid Provider Spending

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

LA LIBERTAD MEDICAL CLINIC INC

NPI: 1295887024 · SOUTH GATE, CA 90280 · General Practice Physician · NPI assigned 01/18/2007

$536K
Total Medicaid Paid
160,740
Total Claims
149,448
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHAMBI, RICARDO (PRESIDENT)
NPI Enumeration Date01/18/2007

Related Entities

Other providers sharing the same authorized official: CHAMBI, RICARDO

ProviderCityStateTotal Paid
LA LIBERTAD MEDICAL CLINIC INC SOUTH GATE CA $119K
LA LIBERTAD MEDICAL CLINIC INC. WALNUT PARK CA $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,108 $103K
2019 23,221 $105K
2020 19,803 $73K
2021 21,962 $82K
2022 25,312 $56K
2023 28,281 $69K
2024 25,053 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51,256 43,275 $120K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,433 2,414 $106K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,048 2,023 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,259 1,253 $53K
92551 5,077 5,071 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,420 4,183 $22K
99384 205 197 $20K
90651 1,398 1,393 $19K
99383 227 209 $19K
97802 862 860 $9K
85014 6,748 6,382 $7K
85018 7,502 7,223 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 135 135 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,785 1,749 $6K
90734 1,169 1,167 $6K
90686 1,063 1,063 $6K
81000 5,515 5,506 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,520 3,359 $3K
97803 1,425 1,422 $2K
90715 532 528 $2K
99000 7,780 7,591 $2K
0071A 51 51 $2K
96156 142 140 $2K
0072A 42 42 $2K
90620 508 505 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,874 9,473 $1K
90633 192 192 $1K
J0690 Injection, cefazolin sodium, 500 mg 9,232 8,919 $1K
99382 14 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 201 93 $1K
90716 157 156 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 491 491 $1K
81002 8,885 8,481 $1K
0001A 25 25 $1K
99201 73 73 $997.61
92552 137 136 $986.86
90713 150 150 $936.00
86580 366 357 $791.08
90649 96 94 $765.00
99386 99 99 $752.40
96150 224 224 $712.77
0003A 17 17 $680.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 301 301 $660.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 470 469 $637.50
90707 84 84 $603.00
99381 13 13 $583.44
0002A 14 14 $560.00
81025 719 694 $445.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,539 1,537 $412.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 965 939 $396.93
90700 81 81 $396.00
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 31 31 $394.32
99173 852 848 $393.67
90670 45 44 $312.75
82947 2,704 2,509 $267.71
96151 133 133 $241.34
92060 1,546 1,545 $197.91
90696 31 31 $189.00
J1885 Injection, ketorolac tromethamine, per 15 mg 499 488 $130.76
90710 30 30 $117.00
90648 16 16 $105.75
99385 15 15 $68.40
94664 21 21 $65.03
90658 13 13 $45.00
94760 3,275 3,069 $11.06
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,877 1,874 $0.10
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 174 174 $0.01
82270 37 37 $0.00
3008F 1,288 1,287 $0.00
3017F 255 254 $0.00
3074F 568 488 $0.00
3079F 170 151 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 46 44 $0.00
3014F 298 296 $0.00
3075F 74 65 $0.00
3044F 22 22 $0.00
S9451 Exercise classes, non-physician provider, per session 63 63 $0.00
36415 Collection of venous blood by venipuncture 165 164 $0.00
G0444 Annual depression screening, 5 to 15 minutes 2,237 2,236 $0.00
3078F 632 547 $0.00
3077F 140 127 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 288 288 $0.00
1158F 1,111 1,111 $0.00
J3260 Injection, tobramycin sulfate, up to 80 mg 32 32 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 45 45 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 131 130 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 120 119 $0.00
92081 195 194 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 40 40 $0.00