SANO MEDICAL CLINIC, INC.

$359K

Total Medicaid Paid

7,629

Total Claims

6,686

Beneficiaries

34

Codes Billed

2018-01

First Month

2023-02

Last Month

Authorized Official	STIRBL, JAMES (PRESIDENT)
NPI Enumeration Date	09/30/2006

Provider	City	State	Total Paid
SANO MEDICAL CLINIC, INC	SANTA ANA	CA	$1.26M

Code	Description	Claims	Beneficiaries	Total Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1,443	1,220	$137K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	884	745	$81K
Z1034		1,318	1,075	$72K
Z1032		116	116	$18K
Z6500		83	83	$10K
Z6404		1,247	1,057	$9K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	93	80	$6K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	26	13	$3K
Z6400		368	367	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	330	324	$3K
J3490	Unclassified drugs	36	24	$2K
81025		521	515	$2K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	106	106	$1K
96156		13	13	$986.34
92551		76	76	$843.94
96150		32	31	$639.36
99406		56	56	$535.84
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	12	12	$502.24
Z6406		29	29	$440.57
Z6204		29	29	$440.57
Z6304		29	29	$433.00
G9920	Screening performed and negative	20	16	$406.00
81003		219	178	$399.30
85018		196	194	$391.75
99000		80	78	$269.44
99401		18	17	$257.40
Z6410		27	27	$205.91
85999		26	26	$78.26
96127		13	13	$56.72
81002		14	14	$25.13
3008F		65	45	$11.60
3074F		47	34	$3.36
3078F		45	32	$0.00

Medicaid Provider Spending