Physician
LA Community Care Medical
LA Community Care Medical was paid $300K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoLA COMMUNITY CARE MEDICAL
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1801099486assigned 06/08/2007
33bProvider typeInternal Medicine Physician
28Total paid$300K
24GClaims35,551
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#340 of 2,679
Median peer was paid$13K
This provider vs. median24×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,109 | $130K | |
| 2019 | 5,410 | $74K | |
| 2020 | 6,354 | $5K | |
| 2021 | 5,006 | $10K | |
| 2022 | 4,324 | $21K | |
| 2023 | 4,973 | $31K | |
| 2024incomplete | 5,375 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 17,092 | 13,613 | $196K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 291 | 270 | $73K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.5% | 492 | 483 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 155 | 154 | $5K |
| A4267 | Contraceptive supply, condom, male, each | 1.3% | 381 | 381 | $4K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 79 | 79 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 149 | 149 | $2K |
| 93000 | <1% | 168 | 168 | $2K | |
| 81002 | <1% | 3,794 | 3,722 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 179 | 176 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 27 | 27 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 225 | 225 | $842.45 |
39 more codes
| 82947 | <1% | 942 | $668.69 | |
| 90658 | <1% | 281 | $622.52 | |
| 81025 | <1% | 283 | $326.39 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,080 | $227.78 |
| 92551 | <1% | 41 | $198.47 | |
| 1159F | <1% | 832 | $165.76 | |
| 1160F | <1% | 800 | $165.76 | |
| 85018 | <1% | 316 | $121.23 | |
| 99000 | <1% | 32 | $115.40 | |
| 1090F | <1% | 488 | $83.73 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | $39.29 |
| 1170F | <1% | 573 | $33.27 | |
| 1036F | <1% | 572 | $22.15 | |
| 1126F | <1% | 234 | $22.15 | |
| 90651 | <1% | 12 | $18.00 | |
| 86580 | <1% | 12 | $6.66 | |
| 3078F | 0% | 136 | $0.00 | |
| 3725F | 0% | 260 | $0.00 | |
| 1003F | 0% | 256 | $0.00 | |
| 4004F | 0% | 204 | $0.00 | |
| 3050F | 0% | 12 | $0.00 | |
| 1100F | 0% | 348 | $0.00 | |
| 3288F | 0% | 27 | $0.00 | |
| 99173 | 0% | 12 | $0.00 | |
| 0518F | 0% | 25 | $0.00 | |
| 1158F | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 20 | $0.00 |
| 3008F | 0% | 1,600 | $0.00 | |
| 1101F | 0% | 359 | $0.00 | |
| 3049F | 0% | 14 | $0.00 | |
| 1000F | 0% | 224 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| 1125F | 0% | 157 | $0.00 | |
| 3074F | 0% | 77 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3075F | 0% | 31 | $0.00 | |
| 3048F | 0% | 29 | $0.00 | |
| 1111F | 0% | 80 | $0.00 | |
| 4245F | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialILUORE, AUGUSTINE (MEDICAL DIRECTOR)