Medicaid Provider Spending

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

SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.

NPI: 1407860844 · LAGUNA HILLS, CA 92653 · Vascular Surgery Physician · NPI assigned 07/29/2006

$10K
Total Medicaid Paid
490
Total Claims
458
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialWALLACE, WILLIAM (CEO)
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: WALLACE, WILLIAM

ProviderCityStateTotal Paid
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC CHULA VISTA CA $13.00M
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. SAN DIEGO CA $8.46M
OC TRAUMA INC MISSION VIEJO CA $144K
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC SAN DIEGO CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $454.01
2019 44 $810.06
2020 36 $80.10
2021 60 $2.80
2022 101 $2K
2023 208 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 212 206 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 247 239 $1K
99233 Prolong inpt eval add15 m 31 13 $215.26