Lab
Sano Medical Clinic, INC
Sano Medical Clinic, INC was paid $1.26M by Medicaid between Jan 2018 and Feb 2023, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoSANO MEDICAL CLINIC, INC
SANTA ANA, CA 92707
SANTA ANA, CA 92707
33aNPI1528144755assigned 10/31/2006
33bProvider typeClinical Medical Laboratory
28Total paid$1.26M
24GClaims26,318
24DCodes billed50
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#177 of 561
Median peer was paid$222K
This provider vs. median5.7×
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 | 3,700 | $152K | |
| 2019 | 4,993 | $152K | |
| 2020 | 4,608 | $236K | |
| 2021 | 5,919 | $352K | |
| 2022 | 6,538 | $335K | |
| 2023 | 560 | $34K |
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% | 6,274 | 5,253 | $511K |
| 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 | 14% | 1,056 | 961 | $177K |
| 96156 | 13% | 1,655 | 1,642 | $166K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.3% | 1,119 | 880 | $105K |
| 99406 | 2.8% | 2,581 | 2,555 | $35K | |
| 96127 | 2.2% | 1,171 | 1,165 | $28K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 480 | 480 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 386 | 384 | $27K |
| 92551 | 2.1% | 1,959 | 1,957 | $26K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 831 | 826 | $22K |
| 96150 | 1.5% | 525 | 524 | $18K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 76 | 70 | $18K |
38 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.3% | 906 | $17K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.1% | 526 | $14K |
| 96151 | <1% | 321 | $11K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 138 | $7K |
| 85018 | <1% | 2,699 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 36 | $5K |
| 81000 | <1% | 1,717 | $5K | |
| G9920 | Screening performed and negative | <1% | 128 | $4K |
| 99072 | <1% | 99 | $3K | |
| 90656 | <1% | 284 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $3K |
| 99173 | <1% | 110 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 228 | $2K |
| 99401 | <1% | 27 | $1K | |
| 99384 | <1% | 15 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 62 | $1K |
| 81002 | <1% | 240 | $944.40 | |
| Z1034 | <1% | 15 | $838.25 | |
| 90700 | <1% | 90 | $810.00 | |
| 81003 | <1% | 56 | $781.48 | |
| 90649 | <1% | 51 | $614.72 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 14 | $578.08 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 39 | $496.08 |
| 90713 | <1% | 45 | $405.00 | |
| 90670 | <1% | 38 | $342.00 | |
| 90651 | <1% | 37 | $333.00 | |
| 90674 | <1% | 26 | $303.54 | |
| H0049 | Alcohol and/or drug screening | <1% | 12 | $288.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | $272.44 |
| 90734 | <1% | 30 | $270.00 | |
| 90647 | <1% | 28 | $252.00 | |
| 81025 | <1% | 53 | $144.73 | |
| 90686 | <1% | 16 | $144.00 | |
| Z6404 | <1% | 15 | $115.83 | |
| 90715 | <1% | 12 | $108.00 | |
| 99000 | <1% | 14 | $49.38 | |
| 85999 | <1% | 12 | $36.12 |
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 officialSTIRBL, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sano Medical Clinic, INC. | Costa Mesa, CA | $359K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.