Medicaid Provider Spending

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

SOUTH ATLANTIC MEDICAL GROUP

NPI: 1790705267 · LOS ANGELES, CA 90022 · Family Medicine Physician · NPI assigned 07/20/2006

$0.00
Total Medicaid Paid
141
Total Claims
121
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialKAHEN, NISSAN (MEDICAL DIRECTOR)
NPI Enumeration Date07/20/2006

Related Entities

Other providers sharing the same authorized official: KAHEN, NISSAN

ProviderCityStateTotal Paid
SOUTH ATLANTIC MEDICAL GROUP, INC LOS ANGELES CA $4K
SOUTH ATLANTIC MEDICAL GROUP GARDENA CA $3K
SOUTH ATLANTIC MEDICAL GROUP IPA LOS ANGELES CA $176.96
SOUTH ATLANTIC MEDICAL GROUP HUNTINGTON PARK CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 141 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 141 121 $0.00