Clinic
Smartclinic INC
Smartclinic INC was paid $4.20M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoSMARTCLINIC INC
WEST COVINA, CA 91792
WEST COVINA, CA 91792
33aNPI1881828317assigned 05/12/2009
33bProvider typeUrgent Care Clinic/Center
28Total paid$4.20M
24GClaims124,289
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#33 of 284
Median peer was paid$147K
This provider vs. median28×
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 | 9,558 | $271K | |
| 2019 | 18,366 | $731K | |
| 2020 | 11,902 | $399K | |
| 2021 | 14,292 | $471K | |
| 2022 | 23,412 | $769K | |
| 2023 | 29,590 | $1.01M | |
| 2024incomplete | 17,169 | $545K |
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 | 44% | 49,181 | 46,119 | $1.85M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 17,665 | 17,628 | $808K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14% | 16,864 | 16,214 | $599K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 13,755 | 13,674 | $591K |
| 99050 | 6.3% | 5,716 | 5,489 | $263K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 409 | 389 | $15K |
| 81002 | <1% | 4,791 | 4,691 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,258 | 2,136 | $11K |
| 81025 | <1% | 2,915 | 2,868 | $7K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,216 | 1,182 | $4K |
| 99000 | <1% | 683 | 676 | $4K | |
| A9150 | Non-prescription drugs | <1% | 697 | 653 | $3K |
33 more codes
| 81003 | <1% | 1,048 | $3K | |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | <1% | 1,634 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 78 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 780 | $2K |
| 93000 | <1% | 411 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 860 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 255 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 635 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 601 | $1K |
| 73600 | <1% | 168 | $1K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 156 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 275 | $825.50 |
| 99407 | <1% | 21 | $395.75 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 25 | $382.41 |
| 73620 | <1% | 84 | $324.55 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 228 | $322.25 |
| 73120 | <1% | 52 | $279.03 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 176 | $242.06 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 48 | $240.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 196 | $148.64 |
| 72100 | <1% | 12 | $137.55 | |
| 73100 | <1% | 16 | $131.73 | |
| 64450 | <1% | 13 | $129.14 | |
| 73140 | <1% | 12 | $95.59 | |
| A6448 | Light compression bandage, elastic, knitted/woven, width less than three inches, per yard | <1% | 68 | $80.00 |
| 69210 | <1% | 48 | $80.00 | |
| 99441 | <1% | 65 | $20.52 | |
| 82948 | <1% | 73 | $16.26 | |
| A6403 | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing | <1% | 15 | $1.36 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 23 | $0.00 |
| A6252 | Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing | 0% | 33 | $0.00 |
| 73560 | 0% | 15 | $0.00 | |
| A6220 | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing | 0% | 15 | $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 officialCHEN, DAVID (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| First and Health Care INC | Santa Ana, CA | $216K |
| Family Medical Care of Clifton, LLC | Clifton, NJ | $30K |
| Goldome Healthcare INC. | Pomona, CA | $13K |
| DC Acupuncture and Herbs Center | Lomita, CA | $3K |
| Atlantic Ophthalmology & Cosmetic Eyelid Surgery | West Caldwell, NJ | $100.53 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.