Managed care
South Atlantic Medical Group Ipa
South Atlantic Medical Group Ipa was paid $176.96 by Medicaid between Jun 2020 and Jul 2021, across 15 billing codes. Its largest line is 80061, Lipid panel — 25% of everything it billed.
33Billing provider infoSOUTH ATLANTIC MEDICAL GROUP IPA
LOS ANGELES, CA 90022
LOS ANGELES, CA 90022
33aNPI1114193182assigned 04/30/2008
33bProvider typeExclusive Provider Organization
28Total paid$176.96
24GClaims1,570
24DCodes billed15
24AFirst – last monthJun 2020 – Jul 2021
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#48 of 55
Median peer was paid$90K
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 | |
|---|---|---|---|
| 2020 | 552 | $54.90 | |
| 2021 | 1,018 | $122.06 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80061 | Lipid panel | 25% | 191 | 191 | $44.50 |
| 84443 | Thyroid stimulating hormone (TSH) | 15% | 187 | 187 | $26.88 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 12% | 38 | 38 | $20.70 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 12% | 12 | 12 | $20.70 |
| 80053 | Comprehensive metabolic panel | 10% | 222 | 222 | $17.72 |
| 86592 | 9.9% | 58 | 57 | $17.44 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 8.8% | 153 | 153 | $15.52 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.6% | 274 | 272 | $13.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 27 | 25 | $0.00 |
| 84439 | 0% | 24 | 24 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 20 | 20 | $0.00 |
| 81003 | 0% | 13 | 13 | $0.00 |
3 more codes
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 officialKAHEN, NISSAN (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| South Atlantic Medical Group, INC | Los Angeles, CA | $4K |
| South Atlantic Medical Group | Gardena, CA | $3K |
| South Atlantic Medical Group | Los Angeles, CA | $0.00 |
| South Atlantic Medical Group | Huntington Park, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.