Medicaid Provider Spending

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

SOUTH ATLANTIC MEDICAL GROUP, INC

NPI: 1710160627 · LOS ANGELES, CA 90022 · General Practice Physician · NPI assigned 12/13/2007

$4K
Total Medicaid Paid
914
Total Claims
789
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialKAHEN, NISSAN (MEDICAL DIRECTOR)
NPI Enumeration Date12/13/2007

Related Entities

Other providers sharing the same authorized official: KAHEN, NISSAN

ProviderCityStateTotal Paid
SOUTH ATLANTIC MEDICAL GROUP GARDENA CA $3K
SOUTH ATLANTIC MEDICAL GROUP IPA LOS ANGELES CA $176.96
SOUTH ATLANTIC MEDICAL GROUP LOS ANGELES CA $0.00
SOUTH ATLANTIC MEDICAL GROUP HUNTINGTON PARK CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 343 $4K
2019 428 $0.00
2020 125 $0.00
2021 18 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 613 529 $3K
99401 30 28 $572.10
81025 29 29 $81.20
3008F 74 63 $0.00
99000 12 12 $0.00
4245F 12 12 $0.00
99441 49 38 $0.00
3074F 26 24 $0.00
3078F 28 26 $0.00
99442 41 28 $0.00