Specialty Medical Group Central California - Dept of Modesto

Specialty Medical Group Central California - Dept of Modesto was paid $152K by Medicaid between Jan 2019 and Nov 2024, across 23 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 34% of everything it billed.

33Billing provider infoSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF MODESTO
MODESTO, CA 95350

33aNPI1083858492assigned 04/29/2009

33bProvider typePediatrics Physician

28Total paid$152K

24GClaims4,882

24DCodes billed23

24AFirst – last monthJan 2019 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#413 of 1,490

Median peer was paid$15K

This provider vs. median10×

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
2019	1,150	$46K
2020	1,624	$70K
2021	1,160	$36K
2022	24	$0.00
2023	453	$0.00
2024incomplete	471	$178.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	34%	619	619	$52K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	30%	1,428	1,372	$45K
99243		8.7%	338	338	$13K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	6.8%	520	486	$10K
93325		4.4%	165	157	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	348	339	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	95	94	$4K
99244	Office or other outpatient consultation, moderate to high complexity	1.7%	59	59	$3K
93000		1.4%	95	93	$2K
76813		1.4%	34	34	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	63	63	$1K
76819	Fetal biophysical profile; without non-stress testing	<1%	31	29	$1K

11 more codes

99238	Hospital discharge day management, 30 minutes or less	<1%	45	$1K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	12	$848.88
99242		<1%	37	$778.80
99241		<1%	14	$600.59
88304		<1%	51	$548.55
99214	Doctor's office visit, returning patient (more involved)	<1%	24	$343.70
99283	Emergency room visit (moderate)	<1%	842	$178.40
99204	Doctor's office visit, new patient (more involved)	<1%	12	$90.21
99282	Emergency department visit for the evaluation and management, low to moderate severity	0%	12	$0.00
99284	Emergency room visit (serious)	0%	26	$0.00
93304		0%	12	$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 officialKAJI, DEVONNA (PRESIDENT/MEDICAL DIRECTOR)

Parent organizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.

Same official

Other billing entities under KAJI, DEVONNA

Full network →

Provider	Location	Paid
Specialty Medical Group Central California - Dept of Otolaryngology	Madera, CA	$11K
Specialty Medical Group Central California - Dept of Orthopedics	Madera, CA	$9K
Specialty Medical Group Central California - Dept of Medicine	Madera, CA	$3K
Specialty Medical Group Central California INC. - Dept of Neurology	Madera, CA	$111.10
Specialty Medical Group - Dept of Perinatology	Madera, CA	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.