Medicaid Provider Spending

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

LOS NINOS CHILDREN MEDICAL CLINIC INC.

NPI: 1700115722 · WEST COVINA, CA 91790 · Pediatrics Physician · NPI assigned 12/22/2009

$482K
Total Medicaid Paid
199,609
Total Claims
196,132
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOMINGUEZ, EMIL (PRESIDENT)
NPI Enumeration Date12/22/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,336 $83K
2019 41,567 $128K
2020 30,347 $50K
2021 32,211 $51K
2022 28,113 $76K
2023 28,393 $59K
2024 18,642 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,631 43,779 $180K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,157 6,150 $55K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,199 6,190 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,374 3,363 $45K
92552 15,594 15,559 $43K
99381 245 244 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,499 4,939 $13K
97803 16,029 15,999 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,122 1,121 $10K
99406 21,068 20,808 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 387 385 $6K
90651 2,426 2,415 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,693 9,528 $6K
90670 1,428 1,417 $4K
99383 271 268 $3K
97802 1,607 1,607 $3K
90472 Immunization administration, each additional vaccine (list separately) 1,613 1,352 $3K
90648 1,284 1,280 $3K
90686 2,435 2,419 $2K
90707 1,449 1,443 $2K
90633 1,457 1,451 $2K
90734 2,550 2,542 $2K
90716 1,562 1,555 $1K
90620 1,581 1,574 $1K
90723 651 651 $1K
99173 12,810 12,780 $938.17
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 795 795 $927.00
90680 1,073 1,053 $919.03
90698 994 970 $817.44
85018 236 234 $471.65
99382 53 52 $430.77
90715 1,331 1,326 $375.48
90744 456 454 $338.58
90688 250 250 $334.45
90700 452 451 $331.09
86580 225 222 $282.12
90460 Immunization administration through 18 years of age via any route, first or only component 229 225 $158.40
99384 15 15 $121.13
90696 238 238 $120.00
90713 244 242 $91.57
3008F 12,542 12,475 $50.01
90461 123 120 $49.50
90671 161 161 $46.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 15,625 15,597 $26.56
91307 33 32 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 342 331 $0.00
0072A 13 13 $0.00
91305 13 13 $0.00
90656 44 44 $0.00