Clinica Santa Marta Medical Group, INC

Clinica Santa Marta Medical Group, INC was paid $448K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoCLINICA SANTA MARTA MEDICAL GROUP, INC
LOS ANGELES, CA 90023

33aNPI1366699027assigned 08/25/2008

33bProvider typeGeneral Practice Physician

28Total paid$448K

24GClaims5,394

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in California

Rank by total paid#56 of 474

Median peer was paid$10K

This provider vs. median43×

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	3,587	$320K
2019	1,478	$128K
2020	13	$72.00
2021	41	$514.90
2022	41	$0.00
2023	91	$0.00
2024incomplete	143	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	88%	3,872	2,949	$393K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	7.9%	218	167	$35K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	61	36	$13K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	293	293	$4K
99000		<1%	848	843	$3K
81025		<1%	102	102	$281.62

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 officialQUINONES, VICTOR (OFFICE MANAGER)