Medicaid Provider Spending

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

SAN MARTIN DEPORRES MEDICAL GROUP

NPI: 1861513525 · SANTA ANA, CA 92705 · Family Medicine Physician · NPI assigned 04/02/2007

$2K
Total Medicaid Paid
180
Total Claims
180
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialFLORES, JACOB (OWNER)
NPI Enumeration Date04/02/2007

Related Entities

Other providers sharing the same authorized official: FLORES, JACOB

ProviderCityStateTotal Paid
OUTREACH CARE MEDICAL GROUP, INC OCEANSIDE CA $2.31M
HEALTH LINK MEDICAL GROUP INC OCEANSIDE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 35 35 $2K
92551 34 34 $394.40
81000 34 34 $97.58
86580 14 14 $94.92
99173 34 34 $93.86
85999 29 29 $87.29