Medicaid Provider Spending

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

LOS REYES CLIINICA MEDICA, INC

NPI: 1952461774 · WALNUT PARK, CA 90255 · Family Medicine Physician · NPI assigned 12/11/2006

$2K
Total Medicaid Paid
1,755
Total Claims
1,588
Beneficiaries
10
Codes Billed
2018-01
First Month
2020-05
Last Month

Provider Details

Authorized OfficialGOMEZ, MYRA (ADMINISTRATOR)
NPI Enumeration Date12/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 893 $943.02
2019 666 $1K
2020 196 $99.27

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,055 934 $1K
92552 121 121 $566.73
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 128 118 $149.50
99173 98 98 $106.88
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 13 $40.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 61 54 $25.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 53 52 $14.57
81002 99 93 $5.16
82962 74 64 $1.80
81001 41 41 $0.00