SAN ANDRES MEDICAL CLINIC INC
NPI: 1982020012
· PICO RIVERA, CA 90660
· Family Medicine Physician
· NPI assigned 03/13/2014
$1.26M
Total Medicaid Paid
Provider Details
| Authorized Official | GARG, RAJAN (OWNER / PRESIDENT) |
| NPI Enumeration Date | 03/13/2014 |
Related Entities
Other providers sharing the same authorized official: GARG, RAJAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,500 |
$654K |
| 2019 |
5,113 |
$496K |
| 2020 |
2,372 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,188 |
3,146 |
$726K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,809 |
1,748 |
$228K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,571 |
1,324 |
$145K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
616 |
591 |
$112K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,576 |
2,576 |
$33K |
| 99000 |
|
3,790 |
3,778 |
$13K |
| 81025 |
|
1,468 |
1,468 |
$4K |
| 81002 |
|
967 |
948 |
$2K |