Physician
Parag Medical, INC
Parag Medical, INC was paid $1.50M by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 96156, — 25% of everything it billed.
33Billing provider infoPARAG MEDICAL, INC
SAN CLEMENTE, CA 92673
SAN CLEMENTE, CA 92673
33aNPI1114064714assigned 01/31/2007
33bProvider typePediatrics Physician
28Total paid$1.50M
24GClaims58,490
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#91 of 1,490
Median peer was paid$15K
This provider vs. median100×
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 | 6,416 | $162K | |
| 2019 | 8,533 | $215K | |
| 2020 | 8,585 | $266K | |
| 2021 | 9,212 | $300K | |
| 2022 | 8,975 | $293K | |
| 2023 | 9,875 | $209K | |
| 2024incomplete | 6,894 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 25% | 5,230 | 5,142 | $373K | |
| 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 | 10.0% | 4,452 | 4,121 | $150K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 6,580 | 5,969 | $137K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 2,296 | 2,257 | $136K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 2,186 | 2,172 | $111K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 6.8% | 5,822 | 5,742 | $101K |
| G9920 | Screening performed and negative | 5.0% | 3,644 | 3,617 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.7% | 1,570 | 1,546 | $70K |
| 92552 | 4.1% | 4,562 | 4,518 | $62K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.5% | 2,828 | 2,797 | $38K |
| 90686 | 1.7% | 3,426 | 3,405 | $26K | |
| 96151 | 1.6% | 1,108 | 1,096 | $25K |
52 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 596 | $24K |
| 96150 | 1.5% | 971 | $22K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 1,083 | $19K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.2% | 2,212 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 614 | $11K |
| 92551 | <1% | 829 | $11K | |
| 90651 | <1% | 559 | $11K | |
| 96127 | <1% | 2,595 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 135 | $10K |
| 90480 | <1% | 191 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 37 | $5K |
| 0071A | <1% | 94 | $4K | |
| H0049 | Alcohol and/or drug screening | <1% | 155 | $4K |
| 85018 | <1% | 1,676 | $4K | |
| 0124A | <1% | 85 | $3K | |
| 90670 | <1% | 351 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 231 | $3K |
| 0072A | <1% | 70 | $3K | |
| 90685 | <1% | 304 | $3K | |
| 91320 | <1% | 19 | $2K | |
| 90734 | <1% | 250 | $2K | |
| 99188 | <1% | 217 | $2K | |
| 90698 | <1% | 161 | $1K | |
| 90677 | <1% | 54 | $1K | |
| 90680 | <1% | 140 | $1K | |
| 90619 | <1% | 122 | $1K | |
| 91319 | <1% | 13 | $1K | |
| 99406 | <1% | 96 | $999.36 | |
| 0001A | <1% | 24 | $960.00 | |
| 90633 | <1% | 94 | $846.00 | |
| 83655 | <1% | 65 | $731.25 | |
| 0154A | <1% | 17 | $680.00 | |
| 90716 | <1% | 66 | $594.00 | |
| 90707 | <1% | 64 | $576.00 | |
| 0002A | <1% | 12 | $480.00 | |
| 90744 | <1% | 50 | $405.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $385.84 |
| 90715 | <1% | 42 | $378.00 | |
| 90656 | <1% | 184 | $324.00 | |
| 90700 | <1% | 36 | $324.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 12 | $281.52 |
| 90621 | <1% | 29 | $261.00 | |
| 94664 | <1% | 17 | $159.46 | |
| 87070 | <1% | 15 | $124.47 | |
| 81000 | <1% | 36 | $98.28 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $83.88 |
| 86580 | <1% | 12 | $51.96 | |
| 81002 | <1% | 14 | $35.54 | |
| 3008F | 0% | 12 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 12 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 56 | $0.00 |
| 1033F | 0% | 31 | $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 officialPARAG, AMIT (PRESIDENT)