Medicaid Provider Spending

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

TAE-SOON KIM MD INC

NPI: 1699979344 · ROWLAND HEIGHTS, CA 91748 · Physical Medicine & Rehabilitation Physician · NPI assigned 06/14/2007

$20.00
Total Medicaid Paid
119
Total Claims
118
Beneficiaries
3
Codes Billed
2020-07
First Month
2020-09
Last Month

Provider Details

Authorized OfficialKIM, TAE-SOON (PRESIDENT)
NPI Enumeration Date06/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 119 $20.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 18 $20.00
36415 Collection of venous blood by venipuncture 27 27 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 74 73 $0.00