Physician
Pacific Private Practice Network INC
Pacific Private Practice Network INC was paid $14K by Medicaid between Mar 2022 and May 2024, across 5 billing codes. Its largest line is 99454, — 33% of everything it billed.
33Billing provider infoPACIFIC PRIVATE PRACTICE NETWORK INC
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1033501077assigned 02/27/2015
33bProvider typeFamily Medicine Physician
28Total paid$14K
24GClaims1,985
24DCodes billed5
24AFirst – last monthMar 2022 – May 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,223 of 2,511
Median peer was paid$13K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2022 | 501 | $2K | |
| 2023 | 996 | $7K | |
| 2024incomplete | 488 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99454 | 33% | 369 | 367 | $5K | |
| 99490 | Ccm add 20min | 31% | 563 | 561 | $4K |
| 99457 | 22% | 680 | 679 | $3K | |
| 99458 | 13% | 333 | 331 | $2K | |
| 99439 | 2.1% | 40 | 40 | $290.22 |
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 officialROVZAR, MICHAEL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Paloma Medical Group INC | San Juan Capistrano, CA | $812K |
| Paloma Incare | San Juan Capistrano, CA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.