SANTA ROSA DE LIMA MEDICAL CLINIC INC.
NPI: 1821139205
· HUNTINGTON PARK, CA 90255
· General Practice Physician
· NPI assigned 02/09/2007
Provider Details
| Authorized Official | ZEVALLOS, EDWIN (PHYSYCIAN) |
| NPI Enumeration Date | 02/09/2007 |
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 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,680 |
9,170 |
$25K |
| 90658 |
|
89 |
89 |
$239.32 |
| 90674 |
|
54 |
54 |
$201.00 |
| 93000 |
|
12 |
12 |
$61.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
49 |
$25.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$9.00 |
| 82962 |
|
33 |
32 |
$3.96 |
| 3078F |
|
23 |
23 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |
| 96127 |
|
118 |
118 |
$0.00 |