Physician
Seven Star Medical Group INC.
Seven Star Medical Group INC. was paid $543K by Medicaid between Aug 2021 and Dec 2024, across 20 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 32% of everything it billed.
33Billing provider infoSEVEN STAR MEDICAL GROUP INC.
HEMET, CA 92543
HEMET, CA 92543
33aNPI1093318172assigned 11/19/2020
33bProvider typeObstetrics & Gynecology Physician
28Total paid$543K
24GClaims11,137
24DCodes billed20
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#179 of 791
Median peer was paid$67K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2021 | 241 | $11K | |
| 2022 | 1,571 | $70K | |
| 2023 | 5,166 | $211K | |
| 2024incomplete | 4,159 | $250K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 32% | 2,541 | 1,692 | $172K |
| Z1034 | 19% | 1,672 | 1,153 | $103K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,581 | 2,338 | $93K |
| 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 | 14% | 896 | 895 | $77K |
| Z1032 | 5.4% | 216 | 216 | $29K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.5% | 47 | 47 | $24K |
| H1000 | Prenatal care, at-risk assessment | 1.8% | 66 | 66 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 704 | 664 | $10K |
| 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 | 1.5% | 186 | 154 | $8K |
| 99000 | <1% | 1,138 | 1,009 | $4K | |
| 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% | 55 | 55 | $3K |
| 81025 | <1% | 510 | 509 | $3K |
8 more codes
| 59425 | <1% | 31 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 26 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40 | $959.33 |
| 59430 | <1% | 14 | $846.72 | |
| 81002 | <1% | 335 | $772.83 | |
| Z6410 | <1% | 12 | $123.39 | |
| 99441 | <1% | 13 | $121.92 | |
| 81003 | <1% | 54 | $100.74 |
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 | $312K |
| Seven Star Medical Group INC. | Hemet, CA | $186K |
| Seven Star Medical Group INC. | Hemet, CA | $4K |
| 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.