Managed care
Nuestra Familia Medical Group INC
Nuestra Familia Medical Group INC was paid $71.72 by Medicaid between Jan 2018 and Sep 2018, across 9 billing codes. Its largest line is 83036, Hemoglobin; glycosylated (A1C) — 100% of everything it billed.
33Billing provider infoNUESTRA FAMILIA MEDICAL GROUP INC
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1114048600assigned 04/02/2007
33bProvider typeHealth Maintenance Organization
28Total paid$71.72
24GClaims940
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#126 of 151
Median peer was paid$59K
This provider vs. median0.0×
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 | 940 | $71.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 83036 | Hemoglobin; glycosylated (A1C) | 100% | 40 | 40 | $71.72 |
| 80053 | Comprehensive metabolic panel | 0% | 101 | 101 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 462 | 411 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 120 | 120 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 14 | 14 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 80 | 80 | $0.00 |
| 81003 | 0% | 18 | 18 | $0.00 | |
| 80061 | Lipid panel | 0% | 91 | 90 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 14 | 14 | $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 officialKAM, LILY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Prospect Medical Group, INC. | Orange, CA | $209K |
| Prospect Professional Care Medical Group, INC. | Santa Ana, CA | $10K |
| Prospect Healthsource Medical Group INC | Orange, CA | $571.69 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.