Marshall Medical Center
Marshall Medical Center was paid $1.35M by Medicaid between Nov 2018 and Dec 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
PLACERVILLE, CA 95667
Next to other Neurology Physician 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 | $3K | |
| 2019 | 2,521 | $106K | |
| 2020 | 6,053 | $285K | |
| 2021 | 6,695 | $274K | |
| 2022 | 7,322 | $289K | |
| 2023 | 6,885 | $237K | |
| 2024incomplete | 3,750 | $153K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 12,832 | 10,784 | $816K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,285 | 4,831 | $205K |
| 80305 | 8.9% | 10,204 | 8,041 | $120K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.3% | 3,174 | 3,009 | $71K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.6% | 484 | 428 | $62K |
| 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 | 2.1% | 274 | 273 | $28K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 181 | 168 | $16K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.2% | 437 | 414 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 154 | 144 | $4K |
| 99407 | <1% | 106 | 97 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 26 | 26 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | 16 | $2K |
2 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 62 | $381.00 |
| Q9992 | Injection, buprenorphine extended-release (sublocade), greater than 100 mg | 0% | 49 | $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
| Provider | Location | Paid |
|---|---|---|
| Marshall Medical Center | Placerville, CA | $12.49M |
| Marshall Medical Center | Georgetown, CA | $1.78M |
| Marshall Medical Center | Cameron Park, CA | $859K |
| Marshall Medical Center | Placerville, CA | $820K |
| Marshall Medical Center | El Dorado Hills, CA | $433K |
| Marshall Medical Center | Placerville, CA | $414K |
| Marshall Medical Center | Placerville, CA | $355K |
| Marshall Medical Center | Cameron Park, CA | $253K |
| Marshall Medical Center | Cameron Park, CA | $160K |
| Marshall Medical Center | Placerville, CA | $97K |
| Marshall Medical Center | Placerville, CA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.