Medicaid Provider Spending

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

LOMA VIEW PEDIATRIC MEDICAL CLINIC, INC.

NPI: 1902928393 · REDLANDS, CA 92374 · Clinic/Center · NPI assigned 04/04/2007

$56K
Total Medicaid Paid
3,451
Total Claims
3,314
Beneficiaries
14
Codes Billed
2018-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialCRUZ, ERNESTO (PRESIDENT)
NPI Enumeration Date04/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,424 $21K
2019 1,033 $14K
2020 994 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 692 655 $18K
96156 117 117 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 149 140 $6K
92551 544 526 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 100 100 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 183 169 $4K
81002 636 612 $1K
85018 639 618 $1K
90686 135 135 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16 13 $592.32
99173 146 135 $588.30
G8510 Screening for depression is documented as negative, a follow-up plan is not required 45 45 $476.55
90688 37 37 $333.00
90651 12 12 $108.00