Nurse Practitioner, Family · Los Angeles, CA
NPI
1619370194
Since 2014
Specialty
Nurse Practitioner, Family
Code 363LF0000X
Group practices
3
Medicare group memberships
Hospitals
0
Hospital affiliations
3612 1/2 E 1st St
Los Angeles, CA, 90063
Phone (323) 264-7796
Groups this clinician bills Medicare through
Medicare paid, 2024
$603K
5,069 services
Medicare patients, 2024
372
Average age 75
Drug cost, 2024
$308K
76 prescriptions
Company payments, 2025
$70.35
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Mariam Clark was code 11046 (debridement), 677 times for 58 patients. In total Mariam Clark billed 5,069 services in 19 codes, and Medicare paid $603K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2022-03-14.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 11046 Debridement | Facility | 677 | 58 | $39.63 | $27K |
| 99308 SNF E&M | Office | 616 | 131 | $54.67 | $34K |
| 99308 SNF E&M | Facility | 582 | 246 | $54.53 | $32K |
| 11045 Debridement | Facility | 483 | 65 | $18.20 | $8,792 |
| 11043 Debridement | Facility | 426 | 104 | $112.30 | $48K |
| 11042 Debridement | Facility | 398 | 127 | $35.92 | $14K |
| 11042 Debridement | Office | 310 | 80 | $88.82 | $28K |
| 11043 Debridement | Office | 304 | 64 | $174.53 | $53K |
| 17250 Destruction Skin Lesion | Office | 234 | 44 | $64.20 | $15K |
| 99307 SNF E&M | Office | 207 | 73 | $29.79 | $6,167 |
| 99307 SNF E&M | Facility | 164 | 88 | $29.81 | $4,889 |
| 11045 Debridement | Office | 134 | 25 | $29.94 | $4,012 |
| 17250 Destruction Skin Lesion | Facility | 119 | 44 | $24.48 | $2,913 |
| 11046 Debridement | Office | 105 | 21 | $54.28 | $5,699 |
By year: 2022 $292K for 3,361 services; 2023 $225K for 3,309 services; 2024 $603K for 5,069 services.
Medicare prescription drug claims, 2024
In 2024, the drug Mariam Clark prescribed most often to Medicare patients was Santyl (Collagenase Clostridium Hist.), with 76 prescriptions and refills. In total Mariam Clark wrote 76 Medicare prescriptions that cost $308K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Santyl Collagenase Clostridium Hist. | 76 | 76 | 48 | $308K |
Brand drugs: 76 claims; generic drugs: 0 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Mariam Clark $70.35 ($70.35 in general payments such as food, travel and fees) from 1 company. The largest payer was Smith+Nephew, Inc. with $70.35.
| Company | Payments | Amount |
|---|---|---|
| Smith+Nephew, Inc. SNN | 2 | $70.35 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.