CLINICA SANTA MARTA MEDICAL GROUP, INC
NPI: 1366699027
· LOS ANGELES, CA 90023
· General Practice Physician
· NPI assigned 08/25/2008
$448K
Total Medicaid Paid
Provider Details
| Authorized Official | QUINONES, VICTOR (OFFICE MANAGER) |
| NPI Enumeration Date | 08/25/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,587 |
$320K |
| 2019 |
1,478 |
$128K |
| 2020 |
13 |
$72.00 |
| 2021 |
41 |
$514.90 |
| 2022 |
41 |
$0.00 |
| 2023 |
91 |
$0.00 |
| 2024 |
143 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,872 |
2,949 |
$393K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
218 |
167 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
36 |
$13K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
293 |
293 |
$4K |
| 99000 |
|
848 |
843 |
$3K |
| 81025 |
|
102 |
102 |
$281.62 |