Medicaid Provider Spending

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

MT. VERNON MEDICAL CLINIC

NPI: 1811222078 · COLTON, CA 92324 · Clinic/Center · NPI assigned 10/06/2009

$250.00
Total Medicaid Paid
69
Total Claims
62
Beneficiaries
1
Codes Billed
2018-08
First Month
2018-11
Last Month

Provider Details

Authorized OfficialSHAMLOO, J (OWNER)
NPI Enumeration Date10/06/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $250.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 69 62 $250.00