Southern California Permanente Medical Group
Southern California Permanente Medical Group was paid $101K by Medicaid between Aug 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
HEMET, CA 92545
Next to other Health Maintenance Organization providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 58 | $0.00 | |
| 2019 | 1,486 | $1K | |
| 2020 | 482 | $8K | |
| 2021 | 101 | $1K | |
| 2022 | 282 | $4K | |
| 2023 | 805 | $45K | |
| 2024incomplete | 759 | $41K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 649 | 645 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 344 | 344 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 637 | 626 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.4% | 779 | 777 | $7K |
| 90686 | 3.4% | 235 | 235 | $3K | |
| 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 | 3.2% | 678 | 669 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.1% | 13 | 13 | $3K |
| 92551 | 1.9% | 142 | 142 | $2K | |
| 90656 | 1.7% | 68 | 68 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 13 | 13 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 12 | 12 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 28 | 28 | $1K |
9 more codes
| 90674 | 1.3% | 57 | $1K | |
| 86580 | <1% | 58 | $510.68 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 99 | $470.00 |
| 99177 | <1% | 15 | $210.00 | |
| 87081 | <1% | 12 | $110.00 | |
| 99173 | <1% | 87 | $70.00 | |
| 81003 | <1% | 12 | $40.00 | |
| 90661 | 0% | 23 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.