San Mateo Medical Clinic, INC

San Mateo Medical Clinic, INC was paid $205K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoSAN MATEO MEDICAL CLINIC, INC
LOS ANGELES, CA 90023

33aNPI1881795003assigned 09/26/2006

33bProvider typeGeneral Practice Physician

28Total paid$205K

24GClaims75,416

24DCodes billed42

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other General Practice Physician providers in California

Rank by total paid#81 of 474

Median peer was paid$10K

This provider vs. median20×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	8,617	$36K
2019	12,674	$60K
2020	11,127	$32K
2021	13,635	$37K
2022	11,311	$20K
2023	10,987	$16K
2024incomplete	7,065	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	12,686	11,289	$65K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	19%	2,073	2,056	$39K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	14%	1,592	1,585	$29K
90686		8.1%	2,686	2,671	$17K
92551		7.0%	5,112	5,091	$14K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.2%	428	421	$11K
81000		2.8%	4,946	4,907	$6K
85018		2.7%	7,678	7,461	$6K
92552		2.5%	322	322	$5K
96156		1.6%	1,284	1,280	$3K
90651		1.3%	703	698	$3K
90734		<1%	405	401	$2K

30 more codes

90620		<1%	422	$1K
81002		<1%	633	$720.14
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	209	$679.10
99173		<1%	3,233	$463.10
96150		<1%	1,345	$459.03
90670		<1%	64	$351.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	5,524	$299.87
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	342	$282.94
90715		<1%	43	$225.00
99401		<1%	5,154	$211.74
81025		<1%	178	$114.89
90472	Immunization administration, each additional vaccine (list separately)	<1%	89	$113.12
90633		<1%	16	$90.00
90680		<1%	12	$81.00
90700		<1%	12	$81.00
90744		<1%	12	$72.00
86580		<1%	25	$56.65
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	76	$45.92
92499		<1%	393	$7.50
97803		<1%	5,169	$0.47
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	2,040	$0.36
83036	Hemoglobin; glycosylated (A1C)	<1%	330	$0.01
D0120	Dental checkup, returning patient	0%	4,572	$0.00
3074F		0%	2,245	$0.00
3079F		0%	54	$0.00
99441		0%	46	$0.00
99442		0%	795	$0.00
3078F		0%	2,405	$0.00
3077F		0%	51	$0.00
99203	Doctor's office visit, new patient (routine)	0%	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialARBID, MASAD (OWNER)