NPI: 1356889539 · SAN DIEGO, CA 92111 · Case Management Agency · NPI assigned 02/07/2017
100% of spending on code G9012 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | MEDINA, OSCAR (PRESIDENT) |
| NPI Enumeration Date | 02/07/2017 |
Other providers sharing the same authorized official: MEDINA, OSCAR
| Provider | City | State | Total Paid |
|---|---|---|---|
| SERENE HEALTH IPA MEDICAL CORP | TINLEY PARK | IL | $104K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,186 | $1.20M |
| 2023 | 32,181 | $11.19M |
| 2024 | 36,845 | $14.42M |