Physician
Las Palmas Medical Group
Las Palmas Medical Group was paid $147K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoLAS PALMAS MEDICAL GROUP
HEMET, CA 92543
HEMET, CA 92543
33aNPI1164503652assigned 10/18/2006
33bProvider typeGeneral Practice Physician
28Total paid$147K
24GClaims12,468
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#98 of 474
Median peer was paid$10K
This provider vs. median14×
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 | 674 | $44K | |
| 2019 | 1,527 | $20K | |
| 2020 | 2,212 | $16K | |
| 2021 | 1,741 | $23K | |
| 2022 | 1,732 | $15K | |
| 2023 | 3,264 | $22K | |
| 2024incomplete | 1,318 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 5,173 | 4,928 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 854 | 831 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.5% | 147 | 139 | $10K |
| 88141 | 3.1% | 93 | 42 | $5K | |
| 81025 | <1% | 423 | 423 | $1K | |
| 3074F | <1% | 28 | 28 | $600.00 | |
| 99000 | <1% | 406 | 403 | $471.94 | |
| 92015 | Determination of refractive state | <1% | 489 | 487 | $328.26 |
| 92551 | <1% | 316 | 310 | $321.89 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 126 | 125 | $238.84 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | 53 | $176.12 |
| 90734 | <1% | 18 | 18 | $27.00 |
14 more codes
| 90651 | <1% | 29 | $18.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,706 | $0.10 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,380 | $0.01 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 35 | $0.00 |
| 3077F | 0% | 292 | $0.00 | |
| 99173 | 0% | 38 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| 3080F | 0% | 222 | $0.00 | |
| 90674 | 0% | 12 | $0.00 | |
| 3008F | 0% | 75 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 429 | $0.00 |
| 3079F | 0% | 82 | $0.00 | |
| 99496 | 0% | 16 | $0.00 | |
| 3075F | 0% | 14 | $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 officialLOPEZ, IRMA (PRESIDENT OWNER)
| Provider | Location | Paid |
|---|---|---|
| Las Palmas Medical Group | Escondido, CA | $28K |
| Las Palmas Medical Group Corp. | Ontario, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.