Medicaid Provider Spending

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

MEDHERO SAN CLEMENTE, A PROFESSIONAL MEDICAL CORPORATION

NPI: 1558736520 · SAN CLEMENTE, CA 92673 · Urgent Care Clinic/Center · NPI assigned 12/02/2015

$320K
Total Medicaid Paid
4,786
Total Claims
4,220
Beneficiaries
12
Codes Billed
2020-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMORENO, GREGORY (PRESIDENT)
NPI Enumeration Date12/02/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 236 $25K
2021 1,459 $99K
2022 1,292 $82K
2023 1,504 $85K
2024 295 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,215 1,880 $221K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 739 722 $78K
99070 637 590 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37 34 $4K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 305 266 $558.63
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 225 210 $437.49
71046 Radiologic examination, chest; 2 views 12 12 $307.45
99000 350 334 $94.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41 38 $14.41
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 150 64 $14.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 26 $5.66
81003 49 44 $1.58