Agency
Sterling Hospitalist Medical Group INC
Sterling Hospitalist Medical Group INC was paid $9.81M by Medicaid between Mar 2018 and Dec 2024, across 58 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 46% of everything it billed.
33Billing provider infoSTERLING HOSPITALIST MEDICAL GROUP INC
GARDEN GROVE, CA 92845
GARDEN GROVE, CA 92845
33aNPI1043751035assigned 03/10/2017
33bProvider typeCase Management Agency
28Total paid$9.81M
24GClaims251,246
24DCodes billed58
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in California
Rank by total paid#20 of 167
Median peer was paid$395K
This provider vs. median25×
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 | 721 | $2K | |
| 2019 | 6,514 | $24K | |
| 2020 | 51,698 | $2.01M | |
| 2021 | 77,839 | $1.73M | |
| 2022 | 71,178 | $2.33M | |
| 2023 | 24,600 | $1.71M | |
| 2024incomplete | 18,696 | $2.01M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 46% | 89,959 | 51,535 | $4.56M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 39% | 122,402 | 61,089 | $3.79M |
| H0043 | Supported housing, per diem | 10.0% | 3,544 | 1,331 | $979K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 2.8% | 2,942 | 1,529 | $274K |
| 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 | <1% | 3,045 | 2,517 | $68K |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | <1% | 258 | 93 | $62K |
| 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% | 2,572 | 2,131 | $28K |
| 1111F | <1% | 2,440 | 1,911 | $9K | |
| 1160F | <1% | 3,107 | 2,322 | $7K | |
| 1159F | <1% | 3,046 | 2,256 | $6K | |
| 94760 | <1% | 2,497 | 2,115 | $6K | |
| 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% | 54 | 53 | $5K |
46 more codes
| 99310 | Prolong nursin fac eval 15m | <1% | 79 | $4K |
| 1000F | <1% | 1,293 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 118 | $3K |
| 1033F | <1% | 2,394 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 31 | $2K |
| 1126F | <1% | 1,288 | $1K | |
| 1125F | <1% | 494 | $1K | |
| 3008F | <1% | 2,730 | $441.49 | |
| 1101F | <1% | 211 | $324.55 | |
| 3074F | <1% | 509 | $197.01 | |
| 1090F | <1% | 61 | $156.69 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $95.94 |
| 90756 | <1% | 12 | $67.42 | |
| 92551 | <1% | 317 | $59.90 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 35 | $57.20 |
| 36415 | Collection of venous blood by venipuncture | <1% | 643 | $53.27 |
| 99000 | <1% | 284 | $21.74 | |
| 99173 | <1% | 287 | $2.35 | |
| T1016 | Case management, each 15 minutes | <1% | 229 | $1.58 |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 506 | $0.55 |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $0.01 |
| 3725F | 0% | 312 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 3078F | 0% | 421 | $0.00 | |
| 3077F | 0% | 69 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 1003F | 0% | 134 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 27 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 27 | $0.00 |
| 98960 | 0% | 19 | $0.00 | |
| 4013F | 0% | 16 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 189 | $0.00 |
| 3048F | 0% | 16 | $0.00 | |
| 3075F | 0% | 29 | $0.00 | |
| 4010F | 0% | 61 | $0.00 | |
| 2000F | 0% | 1,626 | $0.00 | |
| 0001F | 0% | 132 | $0.00 | |
| 1170F | 0% | 61 | $0.00 | |
| 2010F | 0% | 210 | $0.00 | |
| 3079F | 0% | 181 | $0.00 | |
| 2001F | 0% | 203 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| V2799 | Vision item or service, miscellaneous | 0% | 13 | $0.00 |
| 82962 | 0% | 20 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 3044F | 0% | 14 | $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 officialMILLER, GRAY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sterling Hospitalist Medical Group INC | Garden Grove, CA | $6.07M |
| Titanium Healthcare of Washington INC. Health Homes | Renton, WA | $1.39M |
| Titanium Healthcare, LLC | Los Angeles, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.