Physician
Pathway Medical Group, INC
Pathway Medical Group, INC was paid $330K by Medicaid between Jan 2018 and Mar 2024, across 24 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 32% of everything it billed.
33Billing provider infoPATHWAY MEDICAL GROUP, INC
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
33aNPI1184670762assigned 05/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$330K
24GClaims29,310
24DCodes billed24
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#315 of 2,679
Median peer was paid$13K
This provider vs. median26×
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 | 7,193 | $135K | |
| 2019 | 3,572 | $59K | |
| 2020 | 6,155 | $41K | |
| 2021 | 5,121 | $42K | |
| 2022 | 4,398 | $30K | |
| 2023 | 2,803 | $21K | |
| 2024incomplete | 68 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 32% | 3,525 | 1,058 | $105K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 27% | 10,878 | 2,874 | $89K |
| 99223 | Prolong inpt eval add15 m | 24% | 2,036 | 1,964 | $80K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.7% | 4,051 | 1,686 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 990 | 272 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 2,830 | 2,638 | $7K |
| 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 | 2.1% | 1,025 | 982 | $7K |
| 99336 | 1.4% | 1,001 | 996 | $5K | |
| 99335 | 1.4% | 648 | 543 | $4K | |
| 99347 | <1% | 238 | 234 | $3K | |
| 99307 | <1% | 632 | 465 | $2K | |
| 99442 | <1% | 42 | 41 | $963.37 |
12 more codes
| 90756 | <1% | 27 | $320.88 | |
| 90688 | <1% | 43 | $254.89 | |
| 99447 | <1% | 20 | $158.00 | |
| 99422 | <1% | 12 | $69.84 | |
| G0008 | Administration of influenza virus vaccine | <1% | 30 | $38.53 |
| 99421 | <1% | 12 | $34.08 | |
| 99000 | <1% | 12 | $1.34 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 270 | $0.01 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 355 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 604 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 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 officialALKHOULI, HASSAN (C.E.O.)
Parent organizationPATHWAY MEDICAL GROUP, INC
| Provider | Location | Paid |
|---|---|---|
| Pathway Medical Group, INC | Westminster, CA | $4.74M |
| 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.