Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MONTCLAIR › CENTRAL PRIMARY CARE

CENTRAL PRIMARY CARE

NPI: 1992540348 · MONTCLAIR, CA 91763 · Primary Care Clinic/Center · NPI assigned 06/27/2024

$959.78
Total Medicaid Paid
17
Total Claims
16
Beneficiaries
1
Codes Billed
2024-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHIMMELVO, JANE (CEO)
NPI Enumeration Date06/27/2024

Related Entities

Other providers sharing the same authorized official: HIMMELVO, JANE

ProviderCityStateTotal Paid
CENTRAL MEDICAL PRACTICE MONTCLAIR CA $25K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 17 $959.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 17 16 $959.78