Physician
Seven Star Medical Group INC.
Seven Star Medical Group INC. was paid $4K by Medicaid between Oct 2023 and Sep 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoSEVEN STAR MEDICAL GROUP INC.
HEMET, CA 92543
HEMET, CA 92543
33aNPI1073116166assigned 11/19/2020
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$4K
24GClaims56
24DCodes billed2
24AFirst – last monthOct 2023 – Sep 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in California
Rank by total paid#109 of 158
Median peer was paid$17K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 25 | $1K | |
| 2024incomplete | 31 | $3K |
Box 24 · Service lines
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 | 57% | 43 | 43 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 43% | 13 | 13 | $2K |
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 officialCOTA, SOPHIE (OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Seven Star Medical Group INC. | Hemet, CA | $543K |
| Seven Star Medical Group INC. | Hemet, CA | $312K |
| Seven Star Medical Group INC. | Hemet, CA | $186K |
| Seven Star Medical Group INC. | Hemet, CA | $950.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.