Physician
North County Neurology Associates Medical Group
North County Neurology Associates Medical Group was paid $9.07M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 47% of everything it billed.
33Billing provider infoNORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP
CARLSBAD, CA 92011
CARLSBAD, CA 92011
33aNPI1003860537assigned 05/20/2006
33bProvider typeNeurology Physician
28Total paid$9.07M
24GClaims45,495
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in California
Rank by total paid#6 of 296
Median peer was paid$50K
This provider vs. median182×
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 | 1,142 | $163K | |
| 2019 | 2,589 | $607K | |
| 2020 | 3,314 | $785K | |
| 2021 | 6,342 | $1.49M | |
| 2022 | 7,702 | $1.95M | |
| 2023 | 10,121 | $2.17M | |
| 2024incomplete | 14,285 | $1.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 47% | 5,873 | 4,151 | $4.26M |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 12% | 1,659 | 1,653 | $1.08M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 10,966 | 10,889 | $1.05M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.9% | 3,993 | 3,957 | $538K |
| 64615 | 4.9% | 3,430 | 3,426 | $448K | |
| 95811 | 4.4% | 598 | 597 | $398K | |
| 99205 | Prolong outpt/office vis | 2.7% | 1,420 | 1,418 | $247K |
| 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 | 2.6% | 1,566 | 1,565 | $236K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.5% | 3,990 | 2,299 | $230K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 2,146 | 2,130 | $158K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.5% | 1,001 | 706 | $136K |
| 95886 | <1% | 547 | 538 | $86K |
20 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 665 | $76K |
| 95816 | <1% | 341 | $66K | |
| 95708 | <1% | 41 | $15K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 348 | $14K |
| 96139 | <1% | 50 | $13K | |
| 96133 | <1% | 77 | $11K | |
| 62323 | <1% | 27 | $6K | |
| 96116 | <1% | 64 | $5K | |
| 96132 | <1% | 39 | $4K | |
| 99490 | Ccm add 20min | <1% | 201 | $4K |
| 96138 | <1% | 63 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 159 | $2K |
| 95874 | <1% | 37 | $1K | |
| 95819 | <1% | 12 | $307.60 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 130 | $261.61 |
| 3074F | 0% | 2,764 | $0.00 | |
| 3079F | 0% | 1,025 | $0.00 | |
| 3075F | 0% | 71 | $0.00 | |
| 3078F | 0% | 2,177 | $0.00 | |
| 3077F | 0% | 15 | $0.00 |
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 officialSAHAGIAN, GREGORY (CEO)