Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

El Monte Family Medical Group

El Monte Family Medical Group was paid $491K by Medicaid between Jan 2018 and Sep 2023, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoEL MONTE FAMILY MEDICAL GROUP
EL MONTE, CA 91731
33aNPI1073680757assigned 11/29/2006
28Total paid$491K
24GClaims7,007
24DCodes billed26
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#186 of 791
Median peer was paid$67K
This provider vs. median7.4×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20186,774$491K
202016$0.00
202157$15.00
202241$0.00
2023119$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 2,372 1,837 $163K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28% 1,649 1,046 $136K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 22% 489 393 $110K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.4% 159 130 $26K
J3490 Unclassified drugs 3.4% 195 129 $17K
Z1034 2.0% 173 140 $10K
Z1032 1.4% 41 41 $7K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 1.1% 488 488 $5K
Z6500 1.1% 41 41 $5K
Z6412 <1% 193 156 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 32 27 $2K
92552 <1% 150 150 $2K
14 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 29 $1K
81025 <1% 345 $943.26
90670 <1% 107 $864.00
Z6400 <1% 41 $634.09
85018 <1% 265 $587.62
90647 <1% 74 $576.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 14 $528.92
90723 <1% 41 $324.00
90680 <1% 40 $324.00
90460 Immunization administration through 18 years of age via any route, first or only component <1% 16 $141.60
90633 <1% 15 $108.00
90710 <1% 12 $81.00
90649 <1% 14 $63.00
86580 <1% 12 $36.97

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 officialDAGHER, WAEL (PRESIDENT PHYSICIAN)