Medicaid Provider Spending

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

SOUTHLAND ADVANTAGE MEDICAL GROUP, INC.

NPI: 1689903197 · CYPRESS, CA 90630 · Health Maintenance Organization · NPI assigned 12/11/2009

$29K
Total Medicaid Paid
5,081
Total Claims
5,011
Beneficiaries
24
Codes Billed
2020-06
First Month
2021-08
Last Month

Provider Details

Authorized OfficialLE, SON (PRESIDENT)
NPI Enumeration Date12/11/2009

Related Entities

Other providers sharing the same authorized official: LE, SON

ProviderCityStateTotal Paid
CENTER FOR SPINE, JOINT & NEUROMUSCULAR REHABILITATION MT. JULIET TN $1.27M
SON THANH LE, M.D. INC GARDEN GROVE CA $26K
SON HONG LE, M.D., A PROFESSIONAL CORPORATION ROSEMEAD CA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,224 $16K
2021 2,857 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 224 224 $5K
80061 Lipid panel 441 441 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 650 610 $4K
83721 437 437 $4K
84443 Thyroid stimulating hormone (TSH) 277 274 $2K
80053 Comprehensive metabolic panel 414 414 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 484 480 $2K
83036 Hemoglobin; glycosylated (A1C) 323 323 $2K
85049 480 476 $1K
81001 412 411 $605.34
84436 134 134 $505.08
84479 131 131 $459.20
88142 24 24 $385.20
82274 12 12 $171.48
85008 282 281 $86.84
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 254 237 $36.20
82043 12 12 $14.32
82570 12 12 $12.88
84550 13 13 $3.61
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $0.00
80076 13 13 $0.00
82977 13 13 $0.00
3074F 15 15 $0.00
80048 Basic metabolic panel (calcium, ionized) 12 12 $0.00