Physician
Pacific Redwood Medical Group INC
Pacific Redwood Medical Group INC was paid $12.26M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99284, emergency room visit (serious) — 48% of everything it billed.
33Billing provider infoPACIFIC REDWOOD MEDICAL GROUP INC
UKIAH, CA 95482
UKIAH, CA 95482
33aNPI1033103676assigned 09/09/2005
33bProvider typeFamily Medicine Physician
28Total paid$12.26M
24GClaims179,408
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#38 of 2,511
Median peer was paid$13K
This provider vs. median954×
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 | 18,339 | $1.11M | |
| 2019 | 19,875 | $1.13M | |
| 2020 | 16,880 | $938K | |
| 2021 | 18,222 | $957K | |
| 2022 | 23,957 | $1.68M | |
| 2023 | 45,429 | $3.53M | |
| 2024incomplete | 36,706 | $2.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 48% | 75,933 | 73,759 | $5.94M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 26% | 30,634 | 29,901 | $3.19M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 21% | 48,969 | 47,923 | $2.57M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 9,017 | 4,105 | $210K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 8,843 | 8,480 | $124K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 783 | 674 | $75K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,628 | 2,587 | $73K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,045 | 1,027 | $44K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,052 | 1,033 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 217 | 128 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 130 | 76 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 110 | 109 | $1K |
1 more codes
| 99221 | <1% | 47 | $955.25 |
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 officialFAUSONE, GARY (PRESIDENT)