Managed care
Citrus Valley Physicians Group
Citrus Valley Physicians Group was paid $6K by Medicaid between Jan 2018 and Oct 2018, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoCITRUS VALLEY PHYSICIANS GROUP
IRVINE, CA 92606
IRVINE, CA 92606
33aNPI1114212685assigned 06/13/2011
33bProvider typeHealth Maintenance Organization
28Total paid$6K
24GClaims11,531
24DCodes billed56
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#108 of 151
Median peer was paid$59K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 11,531 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 267 | 241 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,268 | 1,199 | $930.95 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.7% | 54 | 52 | $607.95 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 7.9% | 98 | 98 | $497.92 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 323 | 300 | $62.75 |
| J3490 | Unclassified drugs | <1% | 29 | 25 | $52.18 |
| 1159F | 0% | 275 | 243 | $0.00 | |
| 80061 | Lipid panel | 0% | 707 | 704 | $0.00 |
| 83655 | 0% | 15 | 15 | $0.00 | |
| 3078F | 0% | 79 | 71 | $0.00 | |
| 1494F | 0% | 140 | 135 | $0.00 | |
| 92552 | 0% | 13 | 13 | $0.00 |
44 more codes
| 81003 | 0% | 616 | $0.00 | |
| 3077F | 0% | 44 | $0.00 | |
| 99173 | 0% | 12 | $0.00 | |
| G9578 | Documentation of signed opioid treatment agreement at least once during opioid therapy | 0% | 110 | $0.00 |
| 84439 | 0% | 128 | $0.00 | |
| 71010 | 0% | 34 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 62 | $0.00 |
| 84550 | 0% | 13 | $0.00 | |
| 97803 | 0% | 15 | $0.00 | |
| 3074F | 0% | 214 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 682 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 555 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 412 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 926 | $0.00 |
| 84436 | 0% | 109 | $0.00 | |
| 3008F | 0% | 422 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 33 | $0.00 |
| 1036F | 0% | 285 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 98 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,243 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 47 | $0.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 23 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,057 | $0.00 |
| 1126F | 0% | 158 | $0.00 | |
| 85652 | 0% | 47 | $0.00 | |
| 82746 | 0% | 17 | $0.00 | |
| 3079F | 0% | 159 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 57 | $0.00 |
| 84480 | 0% | 49 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 65 | $0.00 |
| 86592 | 0% | 83 | $0.00 | |
| 3080F | 0% | 22 | $0.00 | |
| 1125F | 0% | 147 | $0.00 | |
| 82043 | 0% | 96 | $0.00 | |
| 84479 | 0% | 12 | $0.00 | |
| 82607 | 0% | 30 | $0.00 | |
| 81001 | 0% | 13 | $0.00 | |
| 85027 | 0% | 28 | $0.00 | |
| 84153 | 0% | 33 | $0.00 | |
| 3075F | 0% | 34 | $0.00 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 27 | $0.00 |
| 82962 | 0% | 17 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $0.00 |
| 87340 | 0% | 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 officialRAO, RAJESH (EXECUTIVE ASSISTANT)