Medicaid Provider Spending

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

LA VERNE FAMILY MEDICAL CENTER INC

NPI: 1457469884 · LA VERNE, CA 91750 · Family Medicine Physician · NPI assigned 08/27/2006

$301K
Total Medicaid Paid
27,519
Total Claims
26,131
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWONG, TAN (PRESIDENT)
NPI Enumeration Date08/27/2006

Related Entities

Other providers sharing the same authorized official: WONG, TAN

ProviderCityStateTotal Paid
GOODFAITH FAMILY MEDICAL CLINIC ROSEMEAD CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,072 $41K
2019 4,954 $47K
2020 2,136 $31K
2021 2,874 $40K
2022 4,143 $46K
2023 5,375 $57K
2024 3,965 $39K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,006 7,276 $143K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,701 3,442 $116K
99215 Prolong outpt/office vis 201 201 $10K
90688 400 399 $5K
92552 550 549 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 358 346 $5K
96156 588 586 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 104 $3K
96127 580 526 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 499 492 $1K
96150 243 243 $1K
G9920 Screening performed and negative 44 43 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 276 274 $1K
99000 215 210 $934.17
99173 482 481 $920.93
96151 76 76 $331.22
36415 Collection of venous blood by venipuncture 909 880 $293.42
93000 26 26 $279.36
90686 45 45 $204.24
99051 54 52 $174.00
3078F 2,331 2,259 $148.97
81002 82 80 $118.23
3008F 2,892 2,824 $116.39
3079F 1,056 1,029 $111.77
96160 14 14 $27.50
3074F 2,632 2,541 $5.45
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $3.00
1159F 16 16 $1.00
1160F 16 16 $1.00
3075F 513 508 $0.30
3077F 158 154 $0.00
3725F 56 56 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 27 26 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17 17 $0.00
99442 32 29 $0.00
99443 292 284 $0.00
99050 15 15 $0.00