Physician
Prime 5 Medical Group INC
Prime 5 Medical Group INC was paid $66K by Medicaid between Dec 2020 and Nov 2024, across 13 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 53% of everything it billed.
33Billing provider infoPRIME 5 MEDICAL GROUP INC
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
33aNPI1154947695assigned 06/21/2020
33bProvider typeHospitalist Physician
28Total paid$66K
24GClaims7,127
24DCodes billed13
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in California
Rank by total paid#80 of 208
Median peer was paid$20K
This provider vs. median3.3×
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 | 33 | $680.10 | |
| 2021 | 119 | $4K | |
| 2022 | 1,877 | $25K | |
| 2023 | 4,170 | $33K | |
| 2024incomplete | 928 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 53% | 3,471 | 850 | $35K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 784 | 190 | $8K |
| 99497 | 10% | 738 | 720 | $7K | |
| 99223 | Prolong inpt eval add15 m | 8.2% | 466 | 452 | $5K |
| 99358 | Prolong nursin fac eval 15m | 6.5% | 260 | 210 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.8% | 363 | 347 | $2K |
| 99439 | 3.2% | 388 | 388 | $2K | |
| 99490 | Ccm add 20min | 2.4% | 388 | 388 | $2K |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) | <1% | 75 | 66 | $382.34 |
| 99457 | <1% | 82 | 82 | $181.76 | |
| 99484 | <1% | 27 | 27 | $71.82 | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 0% | 16 | 16 | $0.00 |
1 more codes
| 99458 | 0% | 69 | $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 officialSHAMEKH, PEJMAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pejman D Shamekh, M.D., INC | Los Angeles, CA | $45K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.