Medicaid Provider Spending

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

APPLE MEDICAL CLINIC INC

NPI: 1851869705 · WEST COVINA, CA 91790 · Family Medicine Physician · NPI assigned 11/08/2018

$1K
Total Medicaid Paid
237
Total Claims
213
Beneficiaries
3
Codes Billed
2020-06
First Month
2021-05
Last Month

Provider Details

Authorized OfficialPILPA, JOSE (PRESIDENT)
NPI Enumeration Date11/08/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 92 $1K
2021 145 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 149 132 $688.50
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35 32 $624.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 53 49 $0.00