Sano Medical Clinic, INC.

Sano Medical Clinic, INC. was paid $359K by Medicaid between Jan 2018 and Feb 2023, across 34 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 38% of everything it billed.

33Billing provider infoSANO MEDICAL CLINIC, INC.
COSTA MESA, CA 92627

33aNPI1306939624assigned 09/30/2006

33bProvider typeClinical Medical Laboratory

28Total paid$359K

24GClaims7,629

24DCodes billed34

24AFirst – last monthJan 2018 – Feb 2023

Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#253 of 561

Median peer was paid$222K

This provider vs. median1.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,484	$110K
2019	1,187	$51K
2020	1,241	$54K
2021	1,165	$61K
2022	1,179	$72K
2023	373	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	38%	1,443	1,220	$137K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	884	745	$81K
Z1034		20%	1,318	1,075	$72K
Z1032		4.9%	116	116	$18K
Z6500		2.9%	83	83	$10K
Z6404		2.6%	1,247	1,057	$9K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1.7%	93	80	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.0%	12	12	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	26	13	$3K
Z6400		<1%	368	367	$3K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	330	324	$3K
J3490	Unclassified drugs	<1%	36	24	$2K

22 more codes

81025		<1%	521	$2K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	106	$1K
96156		<1%	13	$986.34
92551		<1%	76	$843.94
96150		<1%	32	$639.36
99406		<1%	56	$535.84
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	12	$502.24
Z6406		<1%	29	$440.57
Z6204		<1%	29	$440.57
Z6304		<1%	29	$433.00
G9920	Screening performed and negative	<1%	20	$406.00
81003		<1%	219	$399.30
85018		<1%	196	$391.75
99000		<1%	80	$269.44
99401		<1%	18	$257.40
Z6410		<1%	27	$205.91
85999		<1%	26	$78.26
96127		<1%	13	$56.72
81002		<1%	14	$25.13
3008F		<1%	65	$11.60
3074F		<1%	47	$3.36
3078F		0%	45	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSTIRBL, JAMES (PRESIDENT)

Same official

Other billing entities under STIRBL, JAMES

Full network →

Provider	Location	Paid
Sano Medical Clinic, INC	Santa Ana, CA	$1.26M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.