Physician
Santa Rosa De Lima Medical Clinic INC.
Santa Rosa De Lima Medical Clinic INC. was paid $25K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.
33Billing provider infoSANTA ROSA DE LIMA MEDICAL CLINIC INC.
HUNTINGTON PARK, CA 90255
HUNTINGTON PARK, CA 90255
33aNPI1821139205assigned 02/09/2007
33bProvider typeGeneral Practice Physician
28Total paid$25K
24GClaims11,125
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#182 of 474
Median peer was paid$10K
This provider vs. median2.4×
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 | 986 | $3K | |
| 2019 | 2,662 | $10K | |
| 2020 | 1,474 | $1K | |
| 2021 | 1,472 | $3K | |
| 2022 | 1,670 | $3K | |
| 2023 | 1,781 | $4K | |
| 2024incomplete | 1,080 | $1K |
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 | 98% | 10,680 | 9,170 | $25K |
| 90658 | <1% | 89 | 89 | $239.32 | |
| 90674 | <1% | 54 | 54 | $201.00 | |
| 93000 | <1% | 12 | 12 | $61.25 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 49 | 49 | $25.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | 48 | $9.00 |
| 82962 | <1% | 33 | 32 | $3.96 | |
| 3078F | 0% | 23 | 23 | $0.00 | |
| 3074F | 0% | 19 | 19 | $0.00 | |
| 96127 | 0% | 118 | 118 | $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 officialZEVALLOS, EDWIN (PHYSYCIAN)