Clinic
Clinica Medica San Miguel
Clinica Medica San Miguel was paid $58K by Medicaid between May 2018 and Oct 2021, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoCLINICA MEDICA SAN MIGUEL
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
33aNPI1467705608assigned 10/25/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$58K
24GClaims6,715
24DCodes billed24
24AFirst – last monthMay 2018 – Oct 2021
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#185 of 284
Median peer was paid$147K
This provider vs. median0.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 928 | $2K | |
| 2019 | 4,364 | $55K | |
| 2020 | 639 | $571.25 | |
| 2021 | 784 | $894.32 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 2,902 | 2,655 | $24K |
| 90649 | 20% | 96 | 96 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 243 | 237 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 250 | 250 | $6K |
| 92551 | 6.4% | 713 | 709 | $4K | |
| 90658 | 4.0% | 403 | 402 | $2K | |
| 90733 | 3.0% | 15 | 15 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 41 | 39 | $665.03 |
| 90715 | <1% | 12 | 12 | $437.28 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 12 | 12 | $371.30 |
| 81000 | <1% | 87 | 87 | $181.10 | |
| 80053 | Comprehensive metabolic panel | <1% | 15 | 15 | $137.85 |
12 more codes
| 85018 | <1% | 71 | $91.33 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 708 | $66.42 |
| 36415 | Collection of venous blood by venipuncture | <1% | 80 | $53.50 |
| 99000 | <1% | 38 | $46.67 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 54 | $23.99 |
| 99173 | <1% | 728 | $12.09 | |
| 81002 | <1% | 12 | $2.15 | |
| 99384 | 0% | 27 | $0.00 | |
| 99383 | 0% | 18 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 160 | $0.00 |
| 90734 | 0% | 17 | $0.00 | |
| 90461 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMICHAEL, MAHFUZ (MEDICAL DIRECTOR)