Medicaid Provider Spending

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

THE VIDAL WOMANS MEDICAL CLINIC INC.

NPI: 1326133687 · LOS ANGELES, CA 90044 · Primary Care Clinic/Center · NPI assigned 10/04/2006

$774K
Total Medicaid Paid
16,136
Total Claims
12,055
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAJA, ISAIAS (CEO, PRESIDENT)
NPI Enumeration Date10/04/2006

Related Entities

Other providers sharing the same authorized official: PAJA, ISAIAS

ProviderCityStateTotal Paid
ISAIAS DE GUZMAN PAJA JR. MD INC LOS ANGELES CA $428K
PMD WELLNESS CENTER INC LONG BEACH CA $6K
PMD WELLNESS CENTER INC. LONG BEACH CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,944 $400K
2019 4,317 $231K
2020 2,690 $75K
2021 383 $11K
2022 417 $15K
2023 508 $20K
2024 877 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,913 2,270 $297K
Z1034 2,953 1,814 $152K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 372 343 $79K
Z1032 324 324 $44K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 104 104 $44K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 681 620 $36K
59425 1,093 665 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 371 363 $22K
Z6410 2,327 1,405 $18K
H1001 Prenatal care, at-risk enhanced service; antepartum management 490 303 $17K
59514 25 25 $10K
99000 2,035 1,892 $5K
Z6400 215 196 $3K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 404 368 $3K
Z6304 364 320 $3K
99215 Prolong outpt/office vis 39 39 $2K
Z6204 244 222 $2K
Z6406 163 135 $2K
59430 28 28 $1K
Z1038 13 13 $685.81
H1003 Prenatal care, at-risk enhanced service; education 926 555 $526.72
81025 38 38 $81.11
36415 Collection of venous blood by venipuncture 14 13 $0.00