NP / PA
San Marcos Medical Group INC.
San Marcos Medical Group INC. was paid $838K by Medicaid between Jan 2018 and Oct 2024, across 44 billing codes. Its largest line is 59425, — 23% of everything it billed.
33Billing provider infoSAN MARCOS MEDICAL GROUP INC.
SAN BERNARDINO, CA 92411
SAN BERNARDINO, CA 92411
33aNPI1184674830assigned 05/11/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$838K
24GClaims26,699
24DCodes billed44
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in California
Rank by total paid#13 of 201
Median peer was paid$1K
This provider vs. median721×
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 | 7,120 | $174K | |
| 2019 | 10,768 | $384K | |
| 2020 | 7,229 | $237K | |
| 2021 | 882 | $25K | |
| 2022 | 429 | $11K | |
| 2023 | 221 | $7K | |
| 2024incomplete | 50 | $553.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 23% | 4,028 | 2,754 | $191K | |
| J3490 | Unclassified drugs | 16% | 1,714 | 1,646 | $138K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 3,299 | 2,953 | $134K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 1,709 | 1,596 | $67K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.9% | 444 | 439 | $50K |
| Z1034 | 5.9% | 903 | 603 | $49K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3.8% | 495 | 492 | $32K |
| 0500F | 3.8% | 366 | 365 | $32K | |
| 3351F | 3.3% | 375 | 372 | $27K | |
| 59430 | 2.5% | 308 | 287 | $21K | |
| 76801 | 1.4% | 177 | 173 | $12K | |
| 99381 | <1% | 94 | 94 | $8K |
32 more codes
| 81025 | <1% | 2,825 | $7K | |
| Z1032 | <1% | 41 | $7K | |
| 88141 | <1% | 277 | $6K | |
| S9083 | Global fee urgent care centers | <1% | 112 | $6K |
| Z6410 | <1% | 779 | $6K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 78 | $5K |
| 99000 | <1% | 1,790 | $5K | |
| Z6500 | <1% | 41 | $5K | |
| S0197 | Prenatal vitamins, 30-day supply | <1% | 2,861 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 79 | $3K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 750 | $3K |
| 81002 | <1% | 1,472 | $3K | |
| 97802 | <1% | 89 | $3K | |
| 90715 | <1% | 29 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 203 | $2K |
| 99460 | <1% | 34 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 17 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 85 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | $1K |
| 82947 | <1% | 409 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $937.08 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 12 | $597.20 |
| 85018 | <1% | 198 | $353.76 | |
| 92557 | <1% | 32 | $350.74 | |
| 92551 | <1% | 12 | $131.65 | |
| 90633 | <1% | 12 | $108.00 | |
| 0502F | 0% | 405 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 13 | $0.00 |
| 3078F | 0% | 27 | $0.00 | |
| 3074F | 0% | 15 | $0.00 | |
| 0501F | 0% | 37 | $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 officialGONZALEZ, SANDRA (COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Triangle Eye Institute | Bakersfield, CA | $227K |
| RGV Optical Images LLC | Laredo, TX | $2K |
| San Marcos Medical Group, INC. | Rialto, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.