Medicaid Provider Spending

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

GOODFAITH FAMILY MEDICAL CLINIC

NPI: 1659534766 · ROSEMEAD, CA 91770 · Adolescent Medicine (Internal Medicine) Physician · NPI assigned 07/08/2008

$0.00
Total Medicaid Paid
26
Total Claims
25
Beneficiaries
1
Codes Billed
2019-09
First Month
2020-01
Last Month

Provider Details

Authorized OfficialWONG, TAN (VICE PRESIDENT)
NPI Enumeration Date07/08/2008

Related Entities

Other providers sharing the same authorized official: WONG, TAN

ProviderCityStateTotal Paid
LA VERNE FAMILY MEDICAL CENTER INC LA VERNE CA $301K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $0.00
2020 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26 25 $0.00