Medicaid Provider Spending

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

PUEBLO MEDICAL ASSOCIATES INC.

NPI: 1407033277 · AZUSA, CA 91702 · Primary Care Clinic/Center · NPI assigned 01/23/2008

$104K
Total Medicaid Paid
11,297
Total Claims
10,878
Beneficiaries
29
Codes Billed
2018-01
First Month
2020-06
Last Month

Provider Details

Authorized OfficialFLORES, HILDA (OFFICE MANAGER)
NPI Enumeration Date01/23/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,307 $59K
2019 5,364 $37K
2020 1,626 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,638 1,485 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,569 2,373 $34K
99401 442 432 $8K
99201 73 68 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 211 210 $3K
92552 885 885 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 213 205 $3K
G9920 Screening performed and negative 247 243 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 101 101 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 136 136 $1K
81025 355 354 $891.98
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 250 250 $599.71
85018 971 967 $445.43
81002 892 888 $384.35
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 39 39 $346.83
90688 139 138 $256.50
90686 125 120 $248.94
99000 592 568 $129.82
90649 51 51 $117.00
99385 17 17 $91.77
G9919 Screening performed and positive and provision of recommendations 35 35 $87.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 273 271 $82.13
90734 37 37 $45.00
99173 652 652 $0.17
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 172 172 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 55 55 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 81 81 $0.00
88150 31 30 $0.00
86580 15 15 $0.00