Physician
VM Medical Group
VM Medical Group was paid $1.76M by Medicaid between Jan 2019 and Dec 2024, across 154 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoVM MEDICAL GROUP
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
33aNPI1184122624assigned 01/30/2018
33bProvider typePediatrics Physician
28Total paid$1.76M
24GClaims321,921
24DCodes billed154
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#82 of 1,490
Median peer was paid$15K
This provider vs. median118×
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 | |
|---|---|---|---|
| 2019 | 3,721 | $42K | |
| 2020 | 44,420 | $126K | |
| 2021 | 54,923 | $277K | |
| 2022 | 59,726 | $442K | |
| 2023 | 77,446 | $545K | |
| 2024incomplete | 81,685 | $330K |
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 | 23% | 46,109 | 33,702 | $407K |
| 96156 | 22% | 10,671 | 10,460 | $388K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.9% | 3,937 | 3,895 | $175K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 3,691 | 3,659 | $119K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 2,965 | 2,929 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.7% | 12,130 | 9,779 | $100K |
| G9920 | Screening performed and negative | 2.8% | 2,953 | 2,935 | $50K |
| 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 | 1.9% | 1,547 | 1,515 | $34K |
| 90686 | 1.5% | 3,009 | 2,997 | $26K | |
| 99497 | 1.4% | 2,884 | 2,842 | $25K | |
| 99490 | Ccm add 20min | 1.3% | 4,570 | 4,570 | $23K |
| 90670 | <1% | 1,636 | 1,623 | $17K |
142 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 608 | $16K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,442 | $16K |
| 90698 | <1% | 1,853 | $15K | |
| 90680 | <1% | 1,789 | $14K | |
| 83037 | <1% | 2,196 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,771 | $13K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 439 | $10K |
| 99381 | <1% | 180 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,132 | $9K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,205 | $9K |
| 90633 | <1% | 1,299 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 322 | $8K |
| 90744 | <1% | 1,018 | $8K | |
| 83655 | <1% | 1,223 | $7K | |
| 99188 | <1% | 1,287 | $7K | |
| 96151 | <1% | 384 | $7K | |
| 90461 | <1% | 4,823 | $6K | |
| 97803 | <1% | 2,138 | $6K | |
| 92551 | <1% | 853 | $6K | |
| 90674 | <1% | 212 | $6K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 608 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 175 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 178 | $5K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,689 | $5K |
| 90707 | <1% | 477 | $4K | |
| 90671 | <1% | 741 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 171 | $4K |
| 90716 | <1% | 497 | $4K | |
| 99386 | <1% | 114 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 2,706 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 347 | $3K |
| 99385 | <1% | 124 | $3K | |
| 85018 | <1% | 2,593 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 798 | $3K |
| 90656 | <1% | 512 | $3K | |
| G0008 | Administration of influenza virus vaccine | <1% | 568 | $2K |
| 90648 | <1% | 332 | $2K | |
| 0071A | <1% | 59 | $2K | |
| 90700 | <1% | 334 | $2K | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 139 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,352 | $2K |
| 82947 | <1% | 6,965 | $2K | |
| 0064A | <1% | 123 | $2K | |
| 96127 | <1% | 2,331 | $2K | |
| 90662 | <1% | 247 | $2K | |
| 99350 | Prolong home eval add 15m | <1% | 57 | $2K |
| 0072A | <1% | 40 | $2K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 284 | $1K |
| 0082A | <1% | 35 | $1K | |
| 0081A | <1% | 33 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,537 | $1K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 23 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 194 | $985.85 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 190 | $874.92 |
| 90710 | <1% | 133 | $819.00 | |
| 90696 | <1% | 138 | $810.00 | |
| 99354 | <1% | 292 | $706.59 | |
| 97802 | <1% | 190 | $685.00 | |
| 99205 | Prolong outpt/office vis | <1% | 43 | $625.00 |
| 90694 | <1% | 115 | $601.12 | |
| 95251 | <1% | 413 | $575.55 | |
| 90756 | <1% | 140 | $520.04 | |
| 93923 | <1% | 117 | $517.21 | |
| 0083A | <1% | 12 | $480.00 | |
| 90651 | <1% | 108 | $450.00 | |
| 99483 | Prolong outpt/office vis | <1% | 211 | $435.08 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 40 | $417.28 |
| 36416 | <1% | 936 | $409.43 | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 58 | $385.66 |
| 99406 | <1% | 203 | $371.42 | |
| 96150 | <1% | 28 | $367.61 | |
| 99173 | <1% | 874 | $352.59 | |
| 90685 | <1% | 38 | $332.44 | |
| 90661 | <1% | 124 | $247.86 | |
| 3008F | <1% | 7,469 | $239.56 | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 58 | $218.26 |
| 95249 | <1% | 12 | $209.08 | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | <1% | 158 | $184.11 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 45 | $153.84 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 634 | $112.38 |
| 96161 | <1% | 577 | $84.00 | |
| 99383 | <1% | 13 | $70.73 | |
| 99401 | <1% | 160 | $66.41 | |
| 36410 | <1% | 105 | $64.80 | |
| J0132 | Injection, acetylcysteine, 100 mg | <1% | 19 | $54.76 |
| 3288F | <1% | 1,760 | $49.90 | |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 55 | $39.69 |
| 93925 | <1% | 68 | $39.59 | |
| G8482 | Influenza immunization administered or previously received | <1% | 1,834 | $34.98 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 15,913 | $31.12 |
| 93880 | <1% | 27 | $27.83 | |
| 90619 | <1% | 12 | $27.00 | |
| 3078F | <1% | 3,970 | $25.00 | |
| 2028F | <1% | 362 | $18.66 | |
| 90381 | <1% | 33 | $18.00 | |
| 1126F | <1% | 6,447 | $16.16 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 18 | $15.57 |
| 1157F | <1% | 259 | $9.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 12,525 | $9.00 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 18 | $1.82 |
| 1125F | 0% | 7,235 | $0.00 | |
| 1170F | 0% | 2,018 | $0.00 | |
| 3080F | 0% | 561 | $0.00 | |
| 3048F | 0% | 181 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 5,444 | $0.00 |
| 3079F | 0% | 1,599 | $0.00 | |
| 3074F | 0% | 4,896 | $0.00 | |
| 3044F | 0% | 2,027 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 1,059 | $0.00 |
| 4037F | 0% | 1,404 | $0.00 | |
| 4010F | 0% | 3,246 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 8,440 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 243 | $0.00 |
| 3049F | 0% | 163 | $0.00 | |
| 3075F | 0% | 867 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 182 | $0.00 |
| 3014F | 0% | 42 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 12 | $0.00 |
| 3077F | 0% | 328 | $0.00 | |
| 2026F | 0% | 16 | $0.00 | |
| 1160F | 0% | 5,562 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,582 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 18,910 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 6,356 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 1,317 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13,724 | $0.00 |
| 3725F | 0% | 1,629 | $0.00 | |
| 1158F | 0% | 1,224 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 3,312 | $0.00 |
| 1124F | 0% | 1,176 | $0.00 | |
| 1159F | 0% | 5,572 | $0.00 | |
| 4274F | 0% | 1,180 | $0.00 | |
| 1090F | 0% | 94 | $0.00 | |
| 3050F | 0% | 98 | $0.00 | |
| 0013A | 0% | 66 | $0.00 | |
| G9916 | Functional status performed once in the last 12 months | 0% | 329 | $0.00 |
| 3095F | 0% | 14 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 44 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 14 | $0.00 |
| 3051F | 0% | 110 | $0.00 | |
| 2024F | 0% | 16 | $0.00 | |
| 2022F | 0% | 16 | $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 officialLU, NGUYEN (OFFICE MANAGER)