Medicaid Provider Spending

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

CLINICA SAN JUDAS

NPI: 1407130883 · BELL, CA 90201 · General Practice Physician · NPI assigned 10/04/2011

$0.00
Total Medicaid Paid
451
Total Claims
442
Beneficiaries
10
Codes Billed
2018-09
First Month
2018-11
Last Month

Provider Details

Authorized OfficialMARTINEZ, ROSA (OFFICE ADMINISTRATOR)
NPI Enumeration Date10/04/2011

Related Entities

Other providers sharing the same authorized official: MARTINEZ, ROSA

ProviderCityStateTotal Paid
ROSA ELIA MARTINEZ BROWNSVILLE TX $14.36M
LABORATORIO CLINICO EL MONTE SAN JUAN PR $24K
KHULOOD Y. COTTA M.D. BELL CA $814.08

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 451 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
3008F 107 105 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 16 16 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 102 102 $0.00
3074F 61 60 $0.00
3079F 20 20 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 32 32 $0.00
3078F 44 43 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 28 $0.00
3077F 22 20 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 16 16 $0.00