Medicaid Provider Spending

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

SUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION

NPI: 1326564212 · NORTH HOLLYWOOD, CA 91606 · Multi-Specialty Clinic/Center · NPI assigned 08/22/2017

$133K
Total Medicaid Paid
25,735
Total Claims
19,046
Beneficiaries
39
Codes Billed
2019-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRUBIN, MITCHELL (ADMINISTRATOR)
NPI Enumeration Date08/22/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,194 $23K
2020 2,157 $20K
2021 2,232 $19K
2022 3,184 $30K
2023 7,811 $22K
2024 8,157 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,680 6,948 $96K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,309 3,010 $19K
37252 16 13 $3K
93000 610 600 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 530 442 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 148 147 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 85 85 $2K
99406 116 116 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 936 726 $819.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes 257 257 $678.07
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 217 217 $575.73
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 82 70 $559.12
71046 Radiologic examination, chest; 2 views 117 116 $513.05
37253 16 13 $511.94
J1885 Injection, ketorolac tromethamine, per 15 mg 666 602 $510.38
99497 189 188 $439.75
93925 103 102 $352.27
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,042 824 $345.73
J0696 Injection, ceftriaxone sodium, per 250 mg 648 461 $283.18
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 697 537 $267.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg 647 596 $181.03
93970 38 38 $166.56
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 18 17 $123.51
82947 1,074 809 $95.64
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 38 31 $74.04
G0444 Annual depression screening, 5 to 15 minutes 72 72 $41.32
81003 1,824 1,511 $36.04
75710 16 13 $31.50
36415 Collection of venous blood by venipuncture 182 175 $8.65
99153 Mod sedat endo service >5yrs 16 13 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 13 $0.00
36247 16 13 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
76937 16 13 $0.00
37229 15 12 $0.00
82948 189 154 $0.00
76706 39 39 $0.00
99152 16 13 $0.00
90670 28 28 $0.00