Medicaid Provider Spending

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

NOGALES MEDICAL CLINIC, INC

NPI: 1497889810 · LA PUENTE, CA 91744 · Clinic/Center · NPI assigned 03/15/2007

$5K
Total Medicaid Paid
15,511
Total Claims
13,440
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVAZQUEZ, LORENZO (PRESIDENT/CEO)
NPI Enumeration Date03/15/2007

Related Entities

Other providers sharing the same authorized official: VAZQUEZ, LORENZO

ProviderCityStateTotal Paid
CLINICA MEDICA LATINA, INC MORENO VALLEY CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,854 $588.76
2019 4,702 $2K
2020 3,641 $1K
2021 903 $23.76
2022 914 $729.22
2023 1,320 $238.75
2024 1,177 $362.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,368 6,824 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 212 197 $990.88
3725F 366 364 $285.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 72 68 $122.75
3008F 2,862 2,563 $110.01
G8510 Screening for depression is documented as negative, a follow-up plan is not required 463 462 $95.32
3074F 242 224 $90.00
3078F 902 840 $90.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 29 29 $50.00
36415 Collection of venous blood by venipuncture 337 333 $0.00
3075F 184 182 $0.00
3079F 154 148 $0.00
1126F 19 19 $0.00
J0690 Injection, cefazolin sodium, 500 mg 17 16 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 14 14 $0.00
1101F 36 36 $0.00
1170F 34 34 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 33 33 $0.00
96127 16 16 $0.00
1158F 36 36 $0.00
82948 640 540 $0.00
3077F 113 100 $0.00
81002 28 28 $0.00
99173 150 150 $0.00
1159F 36 36 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $0.00
3288F 36 36 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 17 $0.00
1160F 36 36 $0.00
1090F 35 35 $0.00