Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › GOLDEN STATE FAMILY CLINIC

GOLDEN STATE FAMILY CLINIC

NPI: 1578345625 · LOS ANGELES, CA 90023 · Family Medicine Physician · NPI assigned 10/13/2023

$13K
Total Medicaid Paid
294
Total Claims
253
Beneficiaries
2
Codes Billed
2024-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTABAIE, HAROLD (CEO)
NPI Enumeration Date10/13/2023

Related Entities

Other providers sharing the same authorized official: TABAIE, HAROLD

ProviderCityStateTotal Paid
WEST REGIONAL CARDIOTHORACIC & VASCULAR SURGEONS W R VEIN CENTER LOS ANGELES CA $1.06M
SOUTHERN CALIFORNIA CARDIOTHORACIC AND VASCULAR SURGEONS LOS ANGELES CA $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 294 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 218 185 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76 68 $2K