Physician
Pathway Medical Group, INC
Pathway Medical Group, INC was paid $4.74M by Medicaid between Jan 2018 and Nov 2024, across 92 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 19% of everything it billed.
33Billing provider infoPATHWAY MEDICAL GROUP, INC
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
33aNPI1164473757assigned 05/16/2006
33bProvider typePulmonary Disease Physician
28Total paid$4.74M
24GClaims218,772
24DCodes billed92
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#3 of 225
Median peer was paid$53K
This provider vs. median89×
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 | 28,131 | $747K | |
| 2019 | 21,953 | $636K | |
| 2020 | 35,648 | $579K | |
| 2021 | 38,505 | $791K | |
| 2022 | 38,652 | $775K | |
| 2023 | 27,719 | $656K | |
| 2024incomplete | 28,164 | $553K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 19% | 11,133 | 10,578 | $888K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 18,124 | 16,652 | $740K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 30,320 | 8,294 | $674K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 11% | 7,546 | 1,943 | $503K |
| 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 | 10% | 10,308 | 9,687 | $495K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.7% | 26,825 | 5,367 | $411K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.5% | 15,159 | 5,327 | $215K |
| 96156 | 3.6% | 3,131 | 3,075 | $172K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 942 | 915 | $82K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 927 | 918 | $76K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 440 | 431 | $46K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 740 | 730 | $38K |
80 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,822 | $37K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,937 | $35K |
| 99307 | <1% | 3,719 | $34K | |
| 93000 | <1% | 704 | $33K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 269 | $25K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,312 | $24K |
| G9920 | Screening performed and negative | <1% | 933 | $20K |
| 99306 | Prolong nursin fac eval 15m | <1% | 750 | $19K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,450 | $16K |
| 99000 | <1% | 2,761 | $14K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,085 | $14K |
| 81002 | <1% | 1,195 | $13K | |
| 96127 | <1% | 3,177 | $11K | |
| 99442 | <1% | 260 | $10K | |
| 96151 | <1% | 471 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 773 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,468 | $9K |
| 99335 | <1% | 1,326 | $7K | |
| 90688 | <1% | 364 | $7K | |
| 90694 | <1% | 91 | $6K | |
| 99336 | <1% | 615 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 72 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 169 | $5K |
| 99347 | <1% | 327 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 632 | $4K |
| 90756 | <1% | 106 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 148 | $2K |
| 99386 | <1% | 12 | $2K | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 26 | $1K |
| 96150 | <1% | 63 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 83 | $995.89 |
| 99407 | <1% | 28 | $823.56 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 675 | $756.75 |
| 99499 | <1% | 2,285 | $680.99 | |
| 94726 | <1% | 15 | $633.09 | |
| 94729 | <1% | 15 | $626.78 | |
| 94060 | <1% | 15 | $612.57 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 4,019 | $405.24 |
| 90656 | <1% | 19 | $398.88 | |
| 99406 | <1% | 13 | $395.82 | |
| 3078F | <1% | 3,706 | $333.77 | |
| 99422 | <1% | 38 | $332.52 | |
| 99441 | <1% | 12 | $322.01 | |
| 99448 | <1% | 21 | $265.51 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 13 | $261.00 |
| 99447 | <1% | 27 | $189.60 | |
| 3074F | <1% | 3,519 | $186.73 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 4,498 | $155.01 |
| 1159F | <1% | 6,147 | $143.48 | |
| 4274F | <1% | 180 | $123.69 | |
| 3008F | <1% | 7,418 | $97.75 | |
| G0008 | Administration of influenza virus vaccine | <1% | 16 | $61.89 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 994 | $57.34 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 5,001 | $51.04 |
| 3080F | <1% | 793 | $38.10 | |
| 1160F | <1% | 6,116 | $35.83 | |
| 3079F | <1% | 1,238 | $32.36 | |
| 3725F | <1% | 1,785 | $25.16 | |
| 1220F | <1% | 2,020 | $17.62 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,166 | $8.34 |
| G8482 | Influenza immunization administered or previously received | <1% | 223 | $8.33 |
| 1036F | <1% | 1,297 | $0.02 | |
| 1000F | <1% | 901 | $0.01 | |
| 3075F | <1% | 966 | $0.01 | |
| 4004F | <1% | 14 | $0.01 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,088 | $0.00 |
| 1125F | 0% | 605 | $0.00 | |
| 1170F | 0% | 146 | $0.00 | |
| 4037F | 0% | 83 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 747 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 320 | $0.00 |
| 1101F | 0% | 159 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 3077F | 0% | 1,211 | $0.00 | |
| 0521F | 0% | 312 | $0.00 | |
| 1158F | 0% | 633 | $0.00 | |
| 1003F | 0% | 207 | $0.00 | |
| 3288F | 0% | 179 | $0.00 | |
| 1090F | 0% | 148 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 13 | $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 officialALKHOULI, HASSAN (C.E. O.)
| Provider | Location | Paid |
|---|---|---|
| Pathway Medical Group, INC | Garden Grove, CA | $330K |
| Pathway Medical Group, INC | Garden Grove, CA | $63K |
| Pathway Medical Group, INC | Garden Grove, CA | $789.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.