Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › CHATSWORTH › LONGEVITA CLINIC, A PROFESSIONAL CORPORATION

LONGEVITA CLINIC, A PROFESSIONAL CORPORATION

NPI: 1730774076 · CHATSWORTH, CA 91311 · Family Medicine Physician · NPI assigned 03/09/2021

$14K
Total Medicaid Paid
898
Total Claims
728
Beneficiaries
3
Codes Billed
2022-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialPARK, RICHARD (SECRETARY)
NPI Enumeration Date03/09/2021

Related Entities

Other providers sharing the same authorized official: PARK, RICHARD

ProviderCityStateTotal Paid
CITY MEDICAL OF NEW JERSEY, PC PARAMUS NJ $6.86M
PALMDALE URGENT CARE INC PALMDALE CA $39K
RICHARD PARK MEDICAL GROUP APC NORTH HOLLYWOOD CA $33K
RICHARD PARK M.D., A PROFESSIONAL CORPORATION GRANADA HILLS CA $23K
CITY MEDICAL OF THE UPPER WEST SIDE PLLC NEW YORK NY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 898 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 463 371 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 416 338 $4K
0004A 19 19 $89.42