SAN JUAN MEDICAL CLINIC, INC
NPI: 1861582033
· OXNARD, CA 93030
· Clinic/Center
· NPI assigned 10/16/2006
$1.08M
Total Medicaid Paid
Provider Details
| Authorized Official | DEMIAN, ROMANY (OWNER) |
| NPI Enumeration Date | 10/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,144 |
$56K |
| 2019 |
3,745 |
$201K |
| 2020 |
2,751 |
$177K |
| 2021 |
3,295 |
$222K |
| 2022 |
2,682 |
$168K |
| 2023 |
2,781 |
$181K |
| 2024 |
1,668 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,562 |
8,591 |
$725K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,976 |
2,597 |
$244K |
| 99443 |
|
791 |
751 |
$69K |
| 82947 |
|
6,943 |
6,067 |
$21K |
| 90688 |
|
647 |
647 |
$12K |
| 99442 |
|
89 |
88 |
$5K |
| 90756 |
|
45 |
45 |
$59.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$57.20 |