Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rume Medical Group, INC.

Rume Medical Group, INC. was paid $767K by Medicaid between Sep 2021 and Oct 2024, across 19 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 24% of everything it billed.

33Billing provider infoRUME MEDICAL GROUP, INC.
IRVINE, CA 92612
33aNPI1154994556assigned 07/22/2021
28Total paid$767K
24GClaims50,251
24DCodes billed19
24AFirst – last monthSep 2021 – Oct 2024
Compared with peers

Next to other Addiction Medicine (Psychiatry & Neurology) Physician providers in California

Rank by total paid#1 of 5
Median peer was paid$1K
This provider vs. median758×

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

$0$50K$100K$150K2018201920202021202220232024
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
20213,926$22K
202235,754$564K
202310,085$176K
2024incomplete486$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 24% 6,733 5,341 $182K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22% 25,637 19,478 $168K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 19% 3,007 2,126 $147K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.1% 2,190 2,151 $70K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.8% 5,752 3,373 $52K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 5.0% 2,030 1,985 $38K
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 4.9% 604 448 $38K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.9% 1,073 928 $14K
87428 1.8% 715 463 $14K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.5% 108 104 $12K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1.2% 1,106 778 $9K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 268 230 $6K
7 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 274 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 272 $5K
99441 <1% 181 $3K
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count <1% 185 $3K
99214 Doctor's office visit, returning patient (more involved) <1% 14 $454.91
0004A <1% 43 $199.60
36415 Collection of venous blood by venipuncture 0% 59 $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 officialAMMIRO, ASHLY (DIRECTOR REVENUE CYCLE MGMT.)