Medicaid Provider Spending

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

SOUTH BAY FAMILY HEALTHCARE CENTER

NPI: 1548301229 · REDONDO BEACH, CA 90278 · Federally Qualified Health Center (FQHC) · NPI assigned 02/08/2007

$3.68M
Total Medicaid Paid
62,789
Total Claims
54,250
Beneficiaries
43
Codes Billed
2018-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialHAMILITON-LEE, JANN (PRESIDENT-CEO)
NPI Enumeration Date02/08/2007

Related Entities

Other providers sharing the same authorized official: HAMILITON-LEE, JANN

ProviderCityStateTotal Paid
SOUTH BAY FAMILY HEALTHCARE CENTER GARDENA CA $2.38M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,012 $936K
2019 13,213 $880K
2020 19,620 $966K
2021 19,944 $895K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 36,245 30,684 $3.33M
00003 Internal/system code - not a standard HCPCS code 1,247 1,138 $191K
90834 Psychotherapy, 45 minutes with patient 1,527 720 $82K
0011A 833 449 $35K
0012A 801 432 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,865 7,050 $6K
90832 Psychotherapy, 30 minutes with patient 18 12 $454.60
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,258 2,120 $310.16
96110 Developmental screening, with scoring and documentation, per standardized instrument 177 174 $299.50
99215 Prolong outpt/office vis 679 634 $0.00
90472 Immunization administration, each additional vaccine (list separately) 764 755 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 304 304 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 374 374 $0.00
99173 723 723 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 43 43 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $0.00
90715 37 37 $0.00
90734 157 157 $0.00
90669 73 73 $0.00
99382 16 16 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $0.00
90707 45 45 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27 27 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 134 134 $0.00
3077F 13 12 $0.00
90658 90 90 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,612 3,345 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,492 1,470 $0.00
85018 1,331 1,329 $0.00
92551 958 958 $0.00
90620 160 160 $0.00
90657 18 18 $0.00
90744 12 12 $0.00
90688 333 333 $0.00
90651 177 177 $0.00
90716 108 108 $0.00
90686 34 33 $0.00
90698 12 12 $0.00
99205 Prolong outpt/office vis 12 12 $0.00
99383 12 12 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $0.00
99384 13 13 $0.00