Medicaid Provider Spending

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

SIU WAN WONG, M.D.,INC

NPI: 1598025975 · S EL MONTE, CA 91733 · Internal Medicine Physician · NPI assigned 05/21/2012

$101K
Total Medicaid Paid
3,717
Total Claims
2,045
Beneficiary Records
9
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialWONG, SIU (CEO)
NPI Enumeration Date05/21/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,529 $25K
2019 1,497 $48K
2020 691 $28K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,478 818 $56K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 819 360 $22K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 279 249 $9K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 91 90 $6K
97124 692 332 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 281 119 $3K
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 16 16 $0.00
G0008 Administration of influenza virus vaccine 38 38 $0.00
90688 23 23 $0.00