SAN GABRIEL CLINIC
NPI: 1659984078
· OCEANSIDE, CA 92056
· Family Medicine Physician
· NPI assigned 08/25/2020
$68.90
Total Medicaid Paid
Provider Details
| Authorized Official | GABRIEL, EVETTE (MANAGER) |
| NPI Enumeration Date | 08/25/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
95 |
$68.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$68.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
47 |
$0.00 |