Physician
Paradise Valley Medical Group, INC.
Paradise Valley Medical Group, INC. was paid $2.50M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoPARADISE VALLEY MEDICAL GROUP, INC.
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1003037722assigned 05/01/2007
33bProvider typeAnesthesiology Physician
28Total paid$2.50M
24GClaims63,041
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anesthesiology Physician providers in California
Rank by total paid#15 of 415
Median peer was paid$17K
This provider vs. median143×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,232 | $300K | |
| 2019 | 9,177 | $381K | |
| 2020 | 9,546 | $397K | |
| 2021 | 9,274 | $391K | |
| 2022 | 9,067 | $337K | |
| 2023 | 8,797 | $311K | |
| 2024incomplete | 9,948 | $381K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 37,139 | 13,843 | $1.24M |
| 99223 | Prolong inpt eval add15 m | 29% | 11,820 | 11,603 | $732K |
| 99239 | Hospital discharge day management, more than 30 minutes | 17% | 11,123 | 10,915 | $423K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 2,497 | 1,241 | $78K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 122 | 121 | $6K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 54 | 40 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 141 | 140 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 47 | 47 | $3K |
| 99497 | <1% | 45 | 42 | $2K | |
| 00142 | <1% | 27 | 27 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $642.46 |
| 99255 | <1% | 13 | 12 | $498.53 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialREDDY, PREM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Prime Healthcare Services Mesquite LLC | Mesquite, TX | $6.58M |
| Prime Healthcare Services - Sherman Oaks, LLC | Sherman Oaks, CA | $5.68M |
| Prime Healthcare LA Palma, LLC | La Palma, CA | $3.02M |
| Ohio Valley Home Care, LLC | East Liverpool, OH | $196K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.