Avalon Family Medical Group INC

Avalon Family Medical Group INC was paid $201K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.

33Billing provider infoAVALON FAMILY MEDICAL GROUP INC
WILMINGTON, CA 90744

33aNPI1114048857assigned 04/02/2007

33bProvider typeInternal Medicine Physician

28Total paid$201K

24GClaims3,524

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#443 of 2,679

Median peer was paid$13K

This provider vs. median16×

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	697	$31K
2019	509	$27K
2020	290	$28K
2021	305	$35K
2022	696	$39K
2023	831	$37K
2024incomplete	196	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	98%	2,374	1,920	$196K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	329	327	$1K
90662		<1%	27	27	$1K
82962		<1%	388	332	$1K
36415	Collection of venous blood by venipuncture	<1%	92	88	$384.32
90674		<1%	12	12	$341.01
99000		<1%	34	31	$40.00
3078F		<1%	256	238	$0.03
3077F		0%	12	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 officialEL SAYAD, EDGAR (MD)