Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › LOS ANGELES › EASTSIDE DIABETES CARE MEDICAL CLINIC, INC.

EASTSIDE DIABETES CARE MEDICAL CLINIC, INC.

NPI: 1841500253 · LOS ANGELES, CA 90022 · Health Service Clinic/Center · NPI assigned 10/19/2010

$18K
Total Medicaid Paid
3,688
Total Claims
3,621
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, ALTAGRACIA (OFFICE MANAGER)
NPI Enumeration Date10/19/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 240 $2K
2019 898 $3K
2020 591 $2K
2021 600 $3K
2022 728 $5K
2023 376 $2K
2024 255 $861.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,385 3,323 $17K
99215 Prolong outpt/office vis 56 56 $600.20
99205 Prolong outpt/office vis 28 28 $362.86
82962 219 214 $16.62