SAN JOSE MEDICAL CLINIC, INC.
NPI: 1598841215
· SAN JOSE, CA 95126
· Allergy & Immunology Physician
· NPI assigned 10/27/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WALLERSTEIN, ERNIE (C.E.O.) |
| NPI Enumeration Date | 10/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,826 |
$0.00 |
| 2019 |
90 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,420 |
1,207 |
$0.00 |
| 99000 |
|
86 |
71 |
$0.00 |
| 96372 |
|
27 |
27 |
$0.00 |
| 96151 |
|
12 |
12 |
$0.00 |
| 92552 |
|
157 |
157 |
$0.00 |
| 99173 |
|
138 |
138 |
$0.00 |
| 90460 |
|
69 |
67 |
$0.00 |
| 59425 |
|
485 |
310 |
$0.00 |
| 99394 |
|
40 |
40 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
416 |
210 |
$0.00 |
| 99393 |
|
30 |
30 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
12 |
12 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |