Medicaid Provider Spending

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

DEL MAR MEDICAL GROUP

NPI: 1528240595 · SAN GABRIEL, CA 91776 · Internal Medicine Physician · NPI assigned 12/03/2007

$9K
Total Medicaid Paid
14,717
Total Claims
12,482
Beneficiaries
15
Codes Billed
2019-09
First Month
2022-07
Last Month

Provider Details

Authorized OfficialWU, TAI (OFFICER)
NPI Enumeration Date12/03/2007

Related Entities

Other providers sharing the same authorized official: WU, TAI

ProviderCityStateTotal Paid
NEW VALLEY MEDICAL GROUP INC SAN GABRIEL CA $468K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,481 $5K
2020 5,828 $3K
2021 4,827 $2K
2022 581 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,990 8,827 $3K
90688 349 349 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 429 428 $1K
3008F 569 555 $1K
93000 98 98 $767.05
3078F 666 654 $120.01
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 49 49 $105.00
3079F 152 150 $60.00
3074F 552 543 $60.00
3075F 141 140 $25.00
3077F 143 140 $10.00
99442 365 335 $0.00
G8482 Influenza immunization administered or previously received 109 109 $0.00
G0008 Administration of influenza virus vaccine 72 72 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33 33 $0.00