ELITE MEDICAL GROUP OF SOUTHERN CALIFORNIA
NPI: 1386424679
· RANCHO CUCAMONGA, CA 91730
· Internal Medicine Physician
· NPI assigned 10/03/2023
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | HILLAWY, BAKER (OWNER) |
| NPI Enumeration Date | 10/03/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
584 |
$35K |
| 2024 |
1,684 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,390 |
450 |
$59K |
| 99223 |
Prolong inpt eval add15 m |
484 |
478 |
$33K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
394 |
387 |
$18K |