Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
CA
›
HUNTINGTON PARK
› SANTA ROSA DE LIMA MEDICAL CLINIC INC.
SANTA ROSA DE LIMA MEDICAL CLINIC INC.
NPI: 1821139205 · HUNTINGTON PARK, CA 90255 ·
208D00000X
$25K
Total Medicaid Paid
11,125
Total Claims
9,614
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
986
$3K
2019
2,662
$10K
2020
1,474
$1K
2021
1,472
$3K
2022
1,670
$3K
2023
1,781
$4K
2024
1,080
$1K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
99213
10,680
9,170
$25K
90658
89
89
$239.32
90674
54
54
$201.00
93000
12
12
$61.25
90472
49
49
$25.00
90471
48
48
$9.00
82962
33
32
$3.96
3078F
23
23
$0.00
3074F
19
19
$0.00
96127
118
118
$0.00