Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Managed care

Southern California Permanente Medical Group

Southern California Permanente Medical Group was paid $48.19M by Medicaid between Jan 2018 and Dec 2024, across 396 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
LOS ANGELES, CA 90027
33aNPI1134151657assigned 07/07/2006
28Total paid$48.19M
24GClaims1,100,248
24DCodes billed396
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Health Maintenance Organization providers in California

Rank by total paid#2 of 151
Median peer was paid$59K
This provider vs. median816×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018103,776$255K
2019139,570$1.14M
2020105,998$3.49M
2021146,658$6.27M
2022156,036$7.71M
2023196,018$11.68M
2024incomplete252,192$17.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 18% 93,944 91,332 $8.76M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 45,943 44,956 $4.40M
77386 6.4% 5,646 3,445 $3.10M
91320 4.3% 12,196 12,188 $2.06M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 76,626 74,451 $1.92M
78815 Positron emission tomography (PET) for limited area imaging 3.6% 1,051 1,044 $1.74M
77067 Screening mammography, bilateral, including computer-aided detection 3.1% 21,264 15,656 $1.50M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 2.4% 798 783 $1.14M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.0% 21,843 21,290 $980K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.8% 7,045 5,487 $857K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.7% 4,927 4,492 $842K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.7% 88,650 88,223 $805K
384 more codes
90480 1.6% 14,762 $780K
70450 Computed tomography, head or brain; without contrast material 1.5% 14,334 $729K
90662 1.3% 5,842 $648K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.3% 10,443 $648K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 27,219 $598K
67028 Intravitreal injection of a pharmacologic agent 1.2% 2,735 $594K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.2% 19,313 $560K
J0178 Injection, aflibercept, 1 mg 1.1% 181 $527K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.0% 5,481 $497K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 638 $475K
99285 Emergency room visit (most serious) <1% 4,673 $453K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,743 $442K
90961 <1% 586 $400K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,557 $384K
77080 <1% 11,876 $379K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 10,640 $373K
90962 <1% 695 $372K
92015 Determination of refractive state <1% 27,949 $309K
71046 Radiologic examination, chest; 2 views <1% 23,623 $292K
99442 <1% 4,652 $290K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,377 $254K
90686 <1% 40,631 $253K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,998 $253K
92134 <1% 8,366 $236K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,229 $233K
11721 <1% 2,714 $230K
99441 <1% 8,604 $216K
73562 <1% 8,364 $187K
71045 Radiologic examination, chest; single view <1% 46,000 $186K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,557 $178K
0064A <1% 4,308 $176K
78451 <1% 444 $171K
0002A <1% 4,438 $170K
92557 <1% 3,237 $169K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 4,313 $167K
73564 <1% 4,808 $162K
90834 Psychotherapy session, about 45 minutes <1% 6,911 $161K
0001A <1% 4,350 $159K
0012A <1% 4,236 $154K
73030 <1% 7,289 $154K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,695 $147K
97161 <1% 1,393 $141K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 2,351 $141K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,293 $140K
76830 Ultrasound, transvaginal <1% 4,325 $139K
76770 <1% 2,260 $135K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 14,938 $132K
71250 <1% 757 $132K
73630 <1% 8,937 $132K
0011A <1% 3,619 $131K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 3,057 $129K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 4,627 $128K
0124A <1% 3,726 $123K
76641 <1% 2,566 $120K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 686 $120K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 412 $115K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 2,152 $112K
0134A <1% 2,990 $107K
76536 <1% 1,474 $103K
88341 <1% 525 $101K
72100 <1% 4,420 $101K
99232 Hospital visit by a doctor, follow-up day <1% 5,664 $99K
92567 <1% 4,770 $91K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,493 $91K
90750 <1% 1,029 $90K
90837 Psychotherapy session, about an hour <1% 2,310 $89K
90966 <1% 122 $85K
92002 <1% 2,416 $82K
73502 <1% 1,947 $73K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 316 $70K
99203 Doctor's office visit, new patient (routine) <1% 1,422 $69K
0054A <1% 1,629 $69K
0004A <1% 1,703 $68K
J7999 Compounded drug, not otherwise classified <1% 1,039 $61K
94729 <1% 518 $60K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,700 $59K
73610 <1% 4,752 $58K
73130 <1% 3,398 $58K
99443 <1% 572 $57K
99204 Doctor's office visit, new patient (more involved) <1% 805 $55K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 370 $52K
99215 Doctor's office visit, returning patient (complex) <1% 1,606 $50K
77065 Tomosynthesis, mammo <1% 417 $49K
73110 <1% 2,606 $48K
92082 <1% 1,544 $48K
72141 <1% 320 $47K
94726 <1% 388 $45K
94060 <1% 527 $44K
92551 <1% 16,735 $42K
99397 <1% 137 $41K
88188 <1% 659 $39K
92133 <1% 1,858 $38K
70486 <1% 298 $38K
0071A <1% 890 $36K
88189 <1% 440 $34K
93922 <1% 317 $34K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,479 $33K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,492 $33K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 1,210 $33K
J7030 Infusion, normal saline solution , 1000 cc <1% 10,952 $32K
90674 <1% 1,946 $32K
88342 <1% 656 $31K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 8,709 $29K
94010 <1% 571 $29K
90678 <1% 160 $29K
95800 <1% 148 $28K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 360 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,329 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 4,321 $27K
0072A <1% 650 $26K
20610 <1% 186 $26K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 552 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,826 $25K
93971 <1% 166 $24K
80051 <1% 4,779 $24K
82565 <1% 5,486 $24K
74018 <1% 4,141 $23K
74183 <1% 68 $23K
72050 <1% 549 $22K
73140 <1% 1,732 $22K
77066 Tomosynthesis, mammo <1% 159 $21K
93294 <1% 268 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,050 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,915 $20K
93271 <1% 73 $20K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 12 $19K
90472 Immunization administration, each additional vaccine (list separately) <1% 8,436 $19K
93880 <1% 123 $19K
90656 <1% 3,474 $19K
72040 <1% 572 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,021 $18K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 38 $18K
93296 <1% 263 $18K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 634 $17K
97162 <1% 152 $16K
85060 <1% 549 $15K
84460 <1% 3,436 $15K
83921 <1% 1,136 $14K
91319 <1% 384 $13K
69210 <1% 289 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 971 $13K
84075 <1% 2,528 $13K
76706 <1% 92 $13K
G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev <1% 23 $12K
85610 <1% 2,984 $12K
86360 <1% 203 $12K
71101 <1% 350 $12K
82247 <1% 2,639 $12K
93970 <1% 125 $12K
73560 <1% 345 $12K
0031A <1% 301 $12K
81329 <1% 378 $11K
71275 Computed tomographic angiography, chest, with contrast material <1% 93 $11K
88346 <1% 61 $11K
70496 <1% 81 $11K
84484 <1% 866 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $11K
72197 <1% 65 $11K
73221 <1% 43 $11K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 449 $11K
0154A <1% 281 $10K
90677 <1% 127 $10K
86359 <1% 203 $10K
93268 <1% 29 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 123 $10K
87799 <1% 240 $10K
97535 Self-care/home management training, each 15 minutes <1% 284 $10K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 278 $9K
77336 <1% 353 $9K
92504 <1% 623 $9K
72170 <1% 520 $9K
76000 <1% 1,222 $9K
73522 <1% 136 $9K
90651 <1% 494 $9K
71271 <1% 26 $8K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 644 $8K
74178 <1% 12 $8K
82947 <1% 2,691 $8K
76870 <1% 117 $8K
84520 <1% 2,775 $8K
90670 <1% 779 $8K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 10,942 $8K
73080 <1% 573 $8K
99222 Initial hospital care, per day, moderate complexity <1% 183 $8K
77073 <1% 145 $8K
73590 <1% 391 $7K
73660 <1% 424 $7K
77427 <1% 30 $7K
77387 <1% 91 $7K
0013A <1% 172 $7K
51798 <1% 288 $7K
91200 <1% 276 $7K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 546 $6K
64642 <1% 31 $6K
62323 <1% 40 $6K
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 42 $6K
99239 Hospital discharge day management, more than 30 minutes <1% 199 $6K
99221 <1% 296 $6K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 632 $6K
57160 <1% 28 $6K
64612 <1% 28 $6K
85097 <1% 78 $6K
83690 <1% 1,314 $6K
93458 <1% 13 $6K
90694 <1% 52 $6K
90734 <1% 306 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 347 $5K
31231 <1% 38 $5K
64643 <1% 27 $5K
91318 <1% 338 $5K
99173 <1% 10,090 $4K
11055 <1% 24 $4K
94618 <1% 64 $4K
72070 <1% 127 $4K
0112A <1% 103 $4K
51741 <1% 133 $4K
77412 <1% 135 $4K
85027 <1% 1,026 $4K
90853 Group psychotherapy (other than of a multiple-family group) <1% 446 $4K
81002 <1% 1,968 $4K
0074A <1% 103 $4K
J1750 Injection, iron dextran, 50 mg <1% 13 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 111 $4K
0111A <1% 89 $3K
73100 <1% 117 $3K
81003 <1% 2,391 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 1,221 $3K
93320 <1% 160 $3K
97165 <1% 91 $3K
73552 <1% 73 $3K
76380 <1% 12 $3K
93272 <1% 72 $3K
81513 <1% 83 $3K
88312 <1% 128 $3K
98968 <1% 169 $3K
88313 <1% 131 $3K
96361 Intravenous infusion, hydration; each additional hour <1% 54 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 120 $2K
76801 <1% 90 $2K
70491 <1% 14 $2K
96415 <1% 27 $2K
31500 <1% 54 $2K
36592 <1% 68 $2K
99177 <1% 2,196 $2K
95117 <1% 528 $2K
97597 <1% 15 $2K
0003A <1% 53 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 383 $2K
70498 <1% 38 $2K
76881 <1% 111 $2K
93325 <1% 171 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 310 $2K
90648 <1% 841 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 278 $2K
76813 <1% 36 $2K
92523 <1% 39 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 280 $1K
88307 <1% 18 $1K
99223 Prolong inpt eval add15 m <1% 141 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 551 $1K
0081A <1% 33 $1K
87338 <1% 626 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 105 $1K
73060 <1% 45 $1K
90791 Psychiatric diagnostic evaluation <1% 28 $1K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 162 $1K
0082A <1% 29 $1K
73090 <1% 181 $1K
99417 Prolong home eval add 15m <1% 67 $1K
97163 <1% 13 $1K
73120 <1% 43 $1K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 27 $992.45
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 776 $936.56
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 30 $903.00
72082 <1% 15 $890.43
90746 <1% 29 $872.97
96112 <1% 75 $862.00
0052A <1% 21 $851.34
87081 <1% 254 $822.43
99100 <1% 15 $819.00
J1756 Injection, iron sucrose, 1 mg <1% 29 $728.00
72081 <1% 63 $716.94
36556 <1% 15 $706.32
87210 <1% 1,130 $694.96
93304 <1% 20 $663.40
88304 <1% 91 $652.20
99354 <1% 105 $598.91
88348 <1% 25 $575.00
99051 <1% 34,543 $567.66
82105 <1% 1,821 $566.80
0053A <1% 15 $560.00
0051A <1% 13 $520.00
72125 Computed tomography, cervical spine; without contrast material <1% 17 $516.41
90832 Psychotherapy session, about 30 minutes <1% 14 $505.00
96375 Therapeutic injection; each additional sequential IV push <1% 15 $432.00
73565 <1% 12 $420.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 20 $351.53
0083A <1% 67 $338.50
J1030 Injection, methylprednisolone acetate, 40 mg <1% 14 $322.00
93308 <1% 16 $295.87
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 21 $256.00
90633 <1% 155 $226.00
73000 <1% 13 $223.27
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 121 $199.12
99201 <1% 108 $197.85
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 13 $194.97
84439 <1% 64 $182.89
88108 <1% 12 $180.00
J7050 Infusion, normal saline solution, 250 cc <1% 221 $171.86
36415 Collection of venous blood by venipuncture <1% 187 $150.40
90655 <1% 42 $140.00
82607 <1% 37 $135.59
88264 <1% 13 $134.34
99205 Prolong outpt/office vis <1% 25 $115.88
90660 <1% 25 $114.00
J3010 Injection, fentanyl citrate, 0.1 mg <1% 110 $108.77
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 223 $102.32
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 66 $94.00
86580 <1% 30 $90.00
84450 <1% 24 $85.26
82985 <1% 13 $83.16
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 162 $79.88
82043 <1% 232 $79.58
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 12 $75.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 62 $62.89
90715 <1% 12 $61.00
J7060 5% dextrose/water (500 ml = 1 unit) <1% 23 $54.50
90723 <1% 114 $45.00
85730 <1% 13 $45.00
84702 <1% 2,820 $40.00
99188 <1% 13 $32.00
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 114 $29.42
99462 <1% 43 $27.22
82677 <1% 1,720 $26.07
86336 <1% 1,724 $16.80
84403 <1% 14 $10.08
84590 <1% 14 $8.40
92227 <1% 91 $7.91
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17 $4.47
G9920 Screening performed and negative <1% 3,221 $0.06
81241 0% 147 $0.00
90661 0% 668 $0.00
81207 0% 136 $0.00
80061 Lipid panel 0% 242 $0.00
82274 0% 123 $0.00
81025 0% 16 $0.00
81206 0% 157 $0.00
G0297 Low dose ct scan (ldct) for lung cancer screening 0% 31 $0.00
81243 0% 213 $0.00
3046F 0% 226 $0.00
88230 0% 123 $0.00
3051F 0% 272 $0.00
88262 0% 66 $0.00
87186 0% 16 $0.00
90658 0% 17 $0.00
82310 0% 29 $0.00
84163 0% 1,087 $0.00
90672 0% 12 $0.00
72110 0% 14 $0.00
88237 0% 12 $0.00
90710 0% 13 $0.00
77003 0% 12 $0.00
1036F 0% 15,006 $0.00
82139 0% 170 $0.00
3044F 0% 3,711 $0.00
82379 0% 33 $0.00
99024 0% 454 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 61 $0.00
81244 0% 213 $0.00
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 0% 26 $0.00
88271 0% 20 $0.00
77417 0% 18 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 0% 133 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 236 $0.00
81229 0% 117 $0.00
87088 0% 174 $0.00
83498 0% 15 $0.00
3052F 0% 124 $0.00
81240 0% 72 $0.00
84132 0% 13 $0.00
81270 0% 40 $0.00
45380 Colonoscopy, flexible; with biopsy, single or multiple 0% 26 $0.00
88275 0% 21 $0.00
82040 0% 17 $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.

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Authorized officialDAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR)
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