Clinic
San Miguel Medical Clinic, INC
San Miguel Medical Clinic, INC was paid $188K by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 24% of everything it billed.
33Billing provider infoSAN MIGUEL MEDICAL CLINIC, INC
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1801992565assigned 09/16/2006
33bProvider typeClinic/Center
28Total paid$188K
24GClaims95,108
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#221 of 504
Median peer was paid$102K
This provider vs. median1.8×
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 | 5,271 | $39K | |
| 2019 | 6,627 | $35K | |
| 2020 | 2,132 | $5K | |
| 2021 | 12 | $18.71 | |
| 2022 | 811 | $3K | |
| 2023 | 19,137 | $32K | |
| 2024incomplete | 61,118 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 24% | 5,871 | 5,166 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 4,334 | 4,031 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,219 | 1,212 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,064 | 1,062 | $22K |
| 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 | 9.4% | 2,496 | 2,459 | $18K |
| 92551 | 5.9% | 3,253 | 3,245 | $11K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 244 | 242 | $5K |
| 85018 | 2.2% | 5,939 | 5,901 | $4K | |
| 92552 | 2.1% | 1,539 | 1,539 | $4K | |
| 99000 | 2.0% | 3,947 | 3,872 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.9% | 498 | 498 | $4K |
| 80061 | Lipid panel | 1.1% | 1,966 | 1,954 | $2K |
63 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,056 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 173 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,443 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,556 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 190 | $1K |
| 81005 | <1% | 1,604 | $1K | |
| 92081 | <1% | 581 | $1K | |
| 90585 | <1% | 471 | $1K | |
| G9920 | Screening performed and negative | <1% | 291 | $899.00 |
| 99173 | <1% | 3,416 | $773.95 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 355 | $639.76 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 519 | $619.16 |
| 81000 | <1% | 2,037 | $567.38 | |
| 83655 | <1% | 135 | $545.67 | |
| 86580 | <1% | 252 | $497.83 | |
| 90734 | <1% | 100 | $460.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,826 | $388.57 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 151 | $372.93 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,777 | $332.23 |
| 90651 | <1% | 75 | $306.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 2,900 | $285.40 |
| 90686 | <1% | 48 | $198.00 | |
| 90658 | <1% | 31 | $189.55 | |
| 97803 | <1% | 2,862 | $185.62 | |
| 90716 | <1% | 25 | $162.00 | |
| 87110 | <1% | 250 | $137.14 | |
| 83026 | <1% | 81 | $115.44 | |
| 96156 | <1% | 717 | $90.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 44 | $87.00 |
| 90633 | <1% | 12 | $72.00 | |
| 99386 | <1% | 12 | $68.40 | |
| 81007 | <1% | 15 | $62.44 | |
| 81002 | <1% | 1,183 | $46.03 | |
| 81003 | <1% | 40 | $42.30 | |
| 82465 | <1% | 92 | $31.35 | |
| 86592 | <1% | 447 | $18.61 | |
| 82270 | <1% | 90 | $6.33 | |
| 96127 | <1% | 117 | $4.81 | |
| 3078F | 0% | 4,188 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,660 | $0.00 |
| 1159F | 0% | 6,934 | $0.00 | |
| 1160F | 0% | 6,933 | $0.00 | |
| 90461 | 0% | 19 | $0.00 | |
| 96160 | 0% | 1,894 | $0.00 | |
| 3077F | 0% | 189 | $0.00 | |
| 1158F | 0% | 28 | $0.00 | |
| 3015F | 0% | 47 | $0.00 | |
| 3050F | 0% | 16 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 14 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,538 | $0.00 |
| 3079F | 0% | 537 | $0.00 | |
| 3075F | 0% | 203 | $0.00 | |
| 3008F | 0% | 5,185 | $0.00 | |
| 3048F | 0% | 117 | $0.00 | |
| 3074F | 0% | 4,618 | $0.00 | |
| 3080F | 0% | 235 | $0.00 | |
| 83704 | 0% | 85 | $0.00 | |
| 82962 | 0% | 44 | $0.00 | |
| 3044F | 0% | 194 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 26 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $0.00 |
| 3049F | 0% | 33 | $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 officialSALAMA, NAIM (OWNER)