CLINICA MEDICA SAN JUDAS TADEO
NPI: 1962139568
· INGLEWOOD, CA 90301
· Community Health Clinic/Center
· NPI assigned 08/03/2022
Provider Details
| Authorized Official | WALSH, ODILIA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 08/03/2022 |
Related Entities
Other providers sharing the same authorized official: WALSH, ODILIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
265 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
83 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$334.17 |
| 92551 |
|
15 |
15 |
$92.74 |
| 99000 |
|
39 |
38 |
$89.83 |
| 99173 |
|
15 |
15 |
$0.00 |
| 1160F |
|
18 |
18 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 1126F |
|
29 |
28 |
$0.00 |
| 3074F |
|
15 |
13 |
$0.00 |
| 3080F |
|
16 |
16 |
$0.00 |