Physician
Permanente Medical Group INC
Permanente Medical Group INC was paid $8.46M by Medicaid between Jan 2018 and Dec 2024, across 186 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.
33Billing provider infoPERMANENTE MEDICAL GROUP INC
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
33aNPI1073606299assigned 10/02/2006
33bProvider typePediatrics Physician
28Total paid$8.46M
24GClaims512,511
24DCodes billed186
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#24 of 1,490
Median peer was paid$15K
This provider vs. median564×
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 | 43,469 | $72K | |
| 2019 | 47,881 | $76K | |
| 2020 | 39,962 | $54K | |
| 2021 | 65,672 | $738K | |
| 2022 | 79,528 | $452K | |
| 2023 | 106,129 | $281K | |
| 2024incomplete | 129,870 | $6.79M |
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 | 12% | 30,047 | 29,784 | $1.02M |
| 91320 | 11% | 10,249 | 10,244 | $943K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 40,087 | 38,447 | $719K |
| 90480 | 5.8% | 14,978 | 14,958 | $492K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 5.4% | 17,210 | 9,343 | $460K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 4.4% | 3,208 | 3,182 | $376K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.9% | 3,349 | 3,333 | $245K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 10,327 | 10,040 | $241K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.8% | 7,644 | 7,590 | $237K |
| G0008 | Administration of influenza virus vaccine | 2.4% | 49,284 | 49,257 | $206K |
| 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 | 2.4% | 13,365 | 12,806 | $201K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.3% | 60,788 | 55,491 | $193K |
174 more codes
| 70450 | Computed tomography, head or brain; without contrast material | 2.2% | 4,496 | $188K |
| 0002A | 2.1% | 4,673 | $176K | |
| 0001A | 2.1% | 4,841 | $175K | |
| 99283 | Emergency room visit (moderate) | 1.9% | 8,762 | $159K |
| 71046 | Radiologic examination, chest; 2 views | 1.4% | 14,047 | $121K |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.4% | 1,173 | $121K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 17,146 | $117K |
| 90662 | 1.3% | 5,399 | $107K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 1.2% | 1,424 | $98K |
| 90962 | 1.1% | 402 | $90K | |
| 71045 | Radiologic examination, chest; single view | <1% | 26,622 | $83K |
| 92015 | Determination of refractive state | <1% | 26,183 | $81K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,439 | $80K |
| 0124A | <1% | 3,522 | $79K | |
| 0054A | <1% | 2,515 | $64K | |
| 0064A | <1% | 2,306 | $63K | |
| 0012A | <1% | 1,675 | $62K | |
| 0004A | <1% | 1,794 | $61K | |
| 97810 | <1% | 3,267 | $59K | |
| 0071A | <1% | 1,647 | $57K | |
| 0072A | <1% | 1,660 | $56K | |
| 0011A | <1% | 1,648 | $55K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 506 | $54K |
| 92134 | <1% | 2,525 | $51K | |
| 77080 | <1% | 2,241 | $50K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 202 | $42K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 474 | $40K |
| 91322 | <1% | 372 | $37K | |
| J0178 | Injection, aflibercept, 1 mg | <1% | 37 | $35K |
| 90656 | <1% | 5,730 | $35K | |
| 90653 | <1% | 596 | $31K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 5,106 | $27K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 419 | $25K |
| 92002 | <1% | 1,934 | $24K | |
| 91319 | <1% | 649 | $22K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,162 | $21K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 252 | $19K |
| 0031A | <1% | 504 | $19K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 544 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 575 | $17K |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 65 | $16K |
| 0134A | <1% | 937 | $16K | |
| 92250 | <1% | 1,385 | $14K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,602 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 971 | $12K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 45 | $12K |
| 11721 | <1% | 164 | $11K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 593 | $11K |
| 92557 | <1% | 314 | $11K | |
| 0154A | <1% | 338 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,648 | $10K |
| 91318 | <1% | 414 | $10K | |
| 0073A | <1% | 310 | $10K | |
| 92567 | <1% | 1,237 | $9K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 175 | $9K |
| 90882 | <1% | 83 | $8K | |
| 70496 | <1% | 41 | $7K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 1,383 | $7K |
| 86580 | <1% | 6,096 | $7K | |
| 76642 | <1% | 194 | $6K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 495 | $6K |
| 0051A | <1% | 207 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 376 | $6K |
| 0052A | <1% | 190 | $6K | |
| 90837 | Psychotherapy session, about an hour | <1% | 640 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 570 | $6K |
| 99441 | <1% | 829 | $6K | |
| 93296 | <1% | 98 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 281 | $5K |
| 90686 | <1% | 31,627 | $5K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 1,621 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 892 | $5K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 44 | $5K |
| 94729 | <1% | 315 | $5K | |
| 70498 | <1% | 27 | $5K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 34 | $5K |
| 99442 | <1% | 455 | $4K | |
| 73630 | <1% | 443 | $4K | |
| 72141 | <1% | 18 | $4K | |
| 93294 | <1% | 48 | $4K | |
| 0081A | <1% | 151 | $4K | |
| 99349 | <1% | 13 | $4K | |
| 0111A | <1% | 130 | $3K | |
| 0082A | <1% | 122 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 80 | $3K |
| 0112A | <1% | 109 | $3K | |
| 97811 | <1% | 507 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 74 | $3K |
| 92570 | <1% | 147 | $3K | |
| 0003A | <1% | 72 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 96 | $3K |
| 70486 | <1% | 37 | $3K | |
| 98968 | <1% | 176 | $3K | |
| 91321 | <1% | 59 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 50 | $2K |
| 73610 | <1% | 169 | $2K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 13 | $2K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 743 | $2K |
| 92133 | <1% | 104 | $2K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 51 | $2K |
| 90677 | <1% | 60 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 145 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 132 | $2K |
| 94010 | <1% | 206 | $2K | |
| 91200 | <1% | 28 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 24 | $2K |
| 74018 | <1% | 448 | $2K | |
| 90694 | <1% | 1,662 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,176 | $2K |
| J7999 | Compounded drug, not otherwise classified | <1% | 102 | $2K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 25 | $2K |
| 94726 | <1% | 39 | $1K | |
| 73560 | <1% | 72 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 54 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 63 | $1K |
| 93320 | <1% | 26 | $1K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 231 | $1K |
| 73110 | <1% | 55 | $862.06 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $677.12 |
| 73130 | <1% | 36 | $656.79 | |
| 90682 | <1% | 3,255 | $651.48 | |
| 0013A | <1% | 18 | $640.00 | |
| 73030 | <1% | 30 | $562.41 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 68 | $560.00 |
| 93325 | <1% | 30 | $553.88 | |
| 95117 | <1% | 366 | $511.40 | |
| 97161 | <1% | 24 | $507.00 | |
| 73080 | <1% | 19 | $435.00 | |
| 0083A | <1% | 55 | $430.00 | |
| 90785 | <1% | 242 | $418.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,824 | $373.08 |
| 99173 | <1% | 619 | $372.00 | |
| 70491 | <1% | 15 | $352.45 | |
| 92555 | <1% | 12 | $321.00 | |
| 92587 | <1% | 26 | $308.00 | |
| 90648 | <1% | 134 | $252.42 | |
| 92588 | <1% | 54 | $240.00 | |
| 88342 | <1% | 42 | $233.03 | |
| 90658 | <1% | 614 | $213.55 | |
| 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% | 1,718 | $200.14 |
| 90633 | <1% | 12 | $195.00 | |
| 96112 | <1% | 40 | $185.00 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 97 | $153.00 |
| 99417 | Prolong home eval add 15m | <1% | 12 | $150.00 |
| 90661 | <1% | 52 | $90.00 | |
| 94760 | <1% | 516 | $77.30 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $49.78 |
| 92551 | <1% | 12 | $47.00 | |
| 93976 | <1% | 36 | $41.21 | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $37.00 |
| 90670 | <1% | 73 | $36.00 | |
| 73620 | <1% | 18 | $6.06 | |
| G9920 | Screening performed and negative | <1% | 1,242 | $0.01 |
| 97813 | 0% | 263 | $0.00 | |
| 90691 | 0% | 37 | $0.00 | |
| 99307 | 0% | 183 | $0.00 | |
| 92579 | 0% | 14 | $0.00 | |
| 99201 | 0% | 61 | $0.00 | |
| 95800 | 0% | 66 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 38 | $0.00 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 33 | $0.00 |
| 1036F | 0% | 2,183 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 94660 | 0% | 127 | $0.00 | |
| 90674 | 0% | 697 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 201 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 45 | $0.00 |
| 97814 | 0% | 244 | $0.00 | |
| 99443 | 0% | 143 | $0.00 | |
| 97026 | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 37 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 65 | $0.00 |
| 99024 | 0% | 21 | $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 officialWEST, PATRICIA (CHIEF FINANCIAL OFFICER)
Parent organizationPERMANENTE MEDICAL GROUP, INC.
| Provider | Location | Paid |
|---|---|---|
| Permanente Medical Group INC | Stockton, CA | $125.88M |
| Permanente Medical Group, INC. | Richmond, CA | $51.11M |
| Permanente Medical Group INC | Richmond, CA | $37.82M |
| Permanente Medical Group, INC. | Berkeley, CA | $31.35M |
| Permanente Medical Group INC | Vallejo, CA | $16.13M |
| Permanente Medical Group INC | San Francisco, CA | $5.40M |
| Permanente Medical Group INC | Redwood City, CA | $4.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.