San Gabriel Valley Perinatal Medical Group, INC

San Gabriel Valley Perinatal Medical Group, INC was paid $11.91M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 17% of everything it billed.

33Billing provider infoSAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC
WEST COVINA, CA 91790

33aNPI1154371623assigned 05/12/2006

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$11.91M

24GClaims224,621

24DCodes billed34

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in California

Rank by total paid#2 of 45

Median peer was paid$631K

This provider vs. median19×

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	26,839	$1.33M
2019	28,046	$1.47M
2020	27,070	$1.41M
2021	31,647	$1.63M
2022	36,029	$1.98M
2023	41,455	$2.30M
2024incomplete	33,535	$1.81M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	17%	17,181	16,921	$2.00M
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	11%	20,242	20,163	$1.36M
76813		11%	15,649	14,821	$1.31M
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	10%	24,286	17,191	$1.25M
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	9.6%	19,927	18,842	$1.15M
59025	Fetal non-stress test	6.9%	43,618	23,337	$827K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	4.9%	11,947	11,434	$579K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	3.9%	1,002	1,001	$468K
76801		3.4%	8,388	8,358	$408K
76825		2.4%	4,251	4,222	$291K
93325		2.3%	4,226	4,213	$274K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.1%	5,845	5,832	$256K

22 more codes

99203	Doctor's office visit, new patient (routine)	2.1%	4,747	$253K
99213	Doctor's office visit, returning patient (routine)	2.1%	10,746	$248K
99204	Doctor's office visit, new patient (more involved)	2.0%	3,972	$235K
99214	Doctor's office visit, returning patient (more involved)	1.7%	6,509	$208K
76827		1.5%	4,229	$182K
Z1034		<1%	1,884	$102K
76820		<1%	3,379	$99K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	4,224	$98K
S0265	Genetic counseling, under physician supervision, each 15 minutes	<1%	3,372	$78K
99241		<1%	2,548	$70K
59514		<1%	148	$70K
99243		<1%	689	$46K
99242		<1%	365	$16K
99451		<1%	375	$9K
99201		<1%	224	$7K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	310	$6K
99232	Hospital visit by a doctor, follow-up day	<1%	200	$6K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	13	$952.38
99221		<1%	13	$409.56
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	28	$401.40
99452		<1%	15	$92.35
36415	Collection of venous blood by venipuncture	<1%	69	$39.00

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 officialAVILA, CARMEN (OFFICE MANAGER)