SAN MIGUEL MEDICAL CLINIC, INC
NPI: 1801992565
· SOUTH GATE, CA 90280
· 261Q00000X
$188K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,271 |
$39K |
| 2019 |
6,627 |
$35K |
| 2020 |
2,132 |
$5K |
| 2021 |
12 |
$18.71 |
| 2022 |
811 |
$3K |
| 2023 |
19,137 |
$32K |
| 2024 |
61,118 |
$73K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
5,871 |
5,166 |
$45K |
| 99213 |
|
4,334 |
4,031 |
$24K |
| 99393 |
|
1,219 |
1,212 |
$24K |
| 99394 |
|
1,064 |
1,062 |
$22K |
| 99214 |
|
2,496 |
2,459 |
$18K |
| 92551 |
|
3,253 |
3,245 |
$11K |
| 99392 |
|
244 |
242 |
$5K |
| 85018 |
|
5,939 |
5,901 |
$4K |
| 92552 |
|
1,539 |
1,539 |
$4K |
| 99000 |
|
3,947 |
3,872 |
$4K |
| 99395 |
|
498 |
498 |
$4K |
| 80061 |
|
1,966 |
1,954 |
$2K |
| 90471 |
|
1,056 |
1,017 |
$2K |
| 99396 |
|
173 |
173 |
$2K |
| 99202 |
|
14 |
14 |
$2K |
| 99211 |
|
1,443 |
1,187 |
$2K |
| G8510 |
Scr dep neg, no plan reqd |
1,556 |
1,553 |
$1K |
| 99215 |
Prolong outpt/office vis |
190 |
189 |
$1K |
| 81005 |
|
1,604 |
1,597 |
$1K |
| 92081 |
|
581 |
581 |
$1K |
| 90585 |
|
471 |
471 |
$1K |
| G9920 |
Scrning perf and negative |
291 |
291 |
$899.00 |
| 99173 |
|
3,416 |
3,404 |
$773.95 |
| 90472 |
|
355 |
312 |
$639.76 |
| 90460 |
|
519 |
351 |
$619.16 |
| 81000 |
|
2,037 |
2,028 |
$567.38 |
| 83655 |
|
135 |
132 |
$545.67 |
| 86580 |
|
252 |
252 |
$497.83 |
| 90734 |
|
100 |
100 |
$460.00 |
| 80053 |
|
1,826 |
1,814 |
$388.57 |
| G8431 |
Pos clin depres scrn f/u doc |
151 |
151 |
$372.93 |
| 83036 |
|
1,777 |
1,768 |
$332.23 |
| 90651 |
|
75 |
72 |
$306.00 |
| G0447 |
Behavior counsel obesity 15m |
2,900 |
2,781 |
$285.40 |
| 90686 |
|
48 |
48 |
$198.00 |
| 90658 |
|
31 |
31 |
$189.55 |
| 97803 |
|
2,862 |
2,743 |
$185.62 |
| 90716 |
|
25 |
25 |
$162.00 |
| 87110 |
|
250 |
250 |
$137.14 |
| 83026 |
|
81 |
81 |
$115.44 |
| 96156 |
|
717 |
715 |
$90.00 |
| G9919 |
Scrn nd pos nd prov of rec |
44 |
44 |
$87.00 |
| 90633 |
|
12 |
12 |
$72.00 |
| 99386 |
|
12 |
12 |
$68.40 |
| 81007 |
|
15 |
15 |
$62.44 |
| 81002 |
|
1,183 |
1,166 |
$46.03 |
| 81003 |
|
40 |
40 |
$42.30 |
| 82465 |
|
92 |
92 |
$31.35 |
| 86592 |
|
447 |
447 |
$18.61 |
| 82270 |
|
90 |
85 |
$6.33 |
| 96127 |
|
117 |
117 |
$4.81 |
| 3078F |
|
4,188 |
4,022 |
$0.00 |
| G0444 |
Depression screen annual |
1,660 |
1,657 |
$0.00 |
| 1159F |
|
6,934 |
5,921 |
$0.00 |
| 1160F |
|
6,933 |
5,921 |
$0.00 |
| 90461 |
|
19 |
19 |
$0.00 |
| 96160 |
|
1,894 |
1,888 |
$0.00 |
| 3077F |
|
189 |
183 |
$0.00 |
| 1158F |
|
28 |
28 |
$0.00 |
| 3015F |
|
47 |
47 |
$0.00 |
| 3050F |
|
16 |
16 |
$0.00 |
| 77067 |
|
14 |
14 |
$0.00 |
| 36415 |
|
2,538 |
2,483 |
$0.00 |
| 3079F |
|
537 |
532 |
$0.00 |
| 3075F |
|
203 |
200 |
$0.00 |
| 3008F |
|
5,185 |
4,942 |
$0.00 |
| 3048F |
|
117 |
115 |
$0.00 |
| 3074F |
|
4,618 |
4,419 |
$0.00 |
| 3080F |
|
235 |
224 |
$0.00 |
| 83704 |
|
85 |
85 |
$0.00 |
| 82962 |
|
44 |
44 |
$0.00 |
| 3044F |
|
194 |
193 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
26 |
26 |
$0.00 |
| 96372 |
|
13 |
13 |
$0.00 |
| 3049F |
|
33 |
33 |
$0.00 |