Medicaid Provider Spending

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

JDCM CORPORATION

NPI: 1750787842 · ONTARIO, CA 91762 · Urgent Care Clinic/Center · NPI assigned 11/17/2014

$21K
Total Medicaid Paid
6,904
Total Claims
5,885
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDE LA LLANA, JOSE (PRESIDENT)
NPI Enumeration Date11/17/2014

Related Entities

Other providers sharing the same authorized official: DE LA LLANA, JOSE

ProviderCityStateTotal Paid
MONTE VISTA PHYSICIANS A MEDICAL CORPORATION UPLAND CA $2K
BEAR VALLEY PRIMARY CARE INC VICTORVILLE CA $187.38

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,093 $199.18
2019 1,235 $871.10
2022 19 $0.00
2023 3,281 $10K
2024 1,276 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97813 512 302 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 977 906 $488.93
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 82 82 $255.87
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31 29 $10.16
92551 48 48 $10.10
99000 226 224 $7.18
3008F 726 671 $0.00
3353F 12 12 $0.00
97026 521 303 $0.00
36415 Collection of venous blood by venipuncture 236 234 $0.00
1111F 203 185 $0.00
3074F 258 251 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 287 166 $0.00
3075F 28 28 $0.00
97814 510 302 $0.00
1170F 13 13 $0.00
1126F 301 300 $0.00
97124 202 124 $0.00
1157F 173 172 $0.00
3351F 49 49 $0.00
1220F 92 92 $0.00
1036F 12 12 $0.00
1125F 62 62 $0.00
3079F 90 89 $0.00
0545F 14 14 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 25 24 $0.00
3078F 356 341 $0.00
1160F 194 192 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52 52 $0.00
1159F 437 433 $0.00
3077F 87 86 $0.00
81002 42 41 $0.00
99173 46 46 $0.00