LA PROVIDENCIA MEDICAL CLINIC
NPI: 1609061431
· LOS ANGELES, CA 90023
· Internal Medicine Physician
· NPI assigned 09/14/2007
Provider Details
| Authorized Official | WOSK, SAMUEL (DIRECTOR) |
| NPI Enumeration Date | 09/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,317 |
$2K |
| 2019 |
1,507 |
$2K |
| 2020 |
651 |
$132.24 |
| 2021 |
763 |
$404.57 |
| 2022 |
652 |
$242.31 |
| 2023 |
550 |
$0.00 |
| 2024 |
298 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
340 |
337 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$598.80 |
| 85018 |
|
269 |
268 |
$299.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,503 |
5,069 |
$36.60 |
| 92081 |
|
79 |
78 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 3078F |
|
20 |
20 |
$0.00 |
| 1160F |
|
14 |
14 |
$0.00 |
| 3008F |
|
240 |
240 |
$0.00 |
| 92499 |
|
149 |
147 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |
| 1170F |
|
14 |
14 |
$0.00 |