Medicaid Provider Spending

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

POOM MEDICAL CLINIC INC

NPI: 1831548197 · PERRIS, CA 92571 · Family Medicine Physician · NPI assigned 06/08/2016

$224K
Total Medicaid Paid
31,170
Total Claims
30,132
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOOMMIPANIT-BAJON, LIDA (SECRETARY)
NPI Enumeration Date06/08/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,348 $18K
2019 6,045 $46K
2020 3,472 $32K
2021 4,491 $25K
2022 4,307 $25K
2023 5,526 $42K
2024 5,981 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,979 9,475 $143K
1126F 103 64 $19K
92557 2,324 2,312 $17K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,887 2,860 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 501 498 $8K
99441 242 232 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 151 151 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 189 185 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 38 $3K
81000 2,324 2,313 $2K
99442 72 70 $2K
85018 2,546 2,534 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 66 $2K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 169 167 $834.37
99446 3,311 3,123 $237.32
99383 19 18 $198.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $188.80
99384 12 12 $148.50
86580 46 46 $143.19
85014 15 15 $27.61
90713 32 32 $18.00
90715 85 85 $18.00
96127 12 12 $10.89
90716 40 40 $9.00
90707 24 24 $9.00
1170F 150 102 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 537 534 $0.00
1157F 115 68 $0.00
3008F 141 141 $0.00
3061F 173 172 $0.00
3044F 68 67 $0.00
90656 17 17 $0.00
H0049 Alcohol and/or drug screening 465 465 $0.00
3074F 541 536 $0.00
3075F 88 88 $0.00
99173 1,283 1,274 $0.00
G0444 Annual depression screening, 5 to 15 minutes 643 639 $0.00
G9919 Screening performed and positive and provision of recommendations 427 427 $0.00
1160F 126 78 $0.00
90734 65 65 $0.00
1159F 122 75 $0.00
3078F 742 735 $0.00
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes 116 114 $0.00
3051F 13 12 $0.00
90700 25 25 $0.00
90649 114 114 $0.00