SOUTHERN ONTARIO MEDICAL CENTER
NPI: 1962518126
· ONTARIO, CA 91762
· Family Medicine Physician
· NPI assigned 08/21/2006
$714.26
Total Medicaid Paid
Provider Details
| Authorized Official | HO, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 08/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
254 |
$274.56 |
| 2020 |
605 |
$226.48 |
| 2021 |
439 |
$0.00 |
| 2022 |
379 |
$65.60 |
| 2023 |
455 |
$65.60 |
| 2024 |
434 |
$82.02 |
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 |
820 |
779 |
$714.26 |
| 3074F |
|
178 |
177 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
58 |
$0.00 |
| 3008F |
|
596 |
595 |
$0.00 |
| 99443 |
|
94 |
94 |
$0.00 |
| 3080F |
|
17 |
17 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99442 |
|
765 |
729 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |