SAN JOAQUIN PRIME CARE MEDICAL GROUP INC
NPI: 1487848131
· FARMERSVILLE, CA 93223
· Family Medicine Physician
· NPI assigned 09/05/2007
$867K
Total Medicaid Paid
Provider Details
| Authorized Official | BURGINS, KIM (BILLING SUPERVISOR) |
| NPI Enumeration Date | 09/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,706 |
$542K |
| 2019 |
5,481 |
$326K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,991 |
6,038 |
$812K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,677 |
1,355 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
439 |
269 |
$948.69 |
| 99490 |
Ccm add 20min |
12 |
12 |
$7.96 |
| 99334 |
|
55 |
38 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$0.00 |