Physician
Modesto Arts Medical Group, INC.
Modesto Arts Medical Group, INC. was paid $485K by Medicaid between Jan 2018 and Feb 2023, across 13 billing codes. Its largest line is 59425, — 66% of everything it billed.
33Billing provider infoMODESTO ARTS MEDICAL GROUP, INC.
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1184789927assigned 12/22/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$485K
24GClaims6,958
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#188 of 791
Median peer was paid$67K
This provider vs. median7.3×
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 | 1,519 | $69K | |
| 2019 | 837 | $49K | |
| 2020 | 1,077 | $83K | |
| 2021 | 1,596 | $132K | |
| 2022 | 1,717 | $122K | |
| 2023 | 212 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 66% | 4,362 | 3,349 | $318K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 14% | 939 | 676 | $66K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 7.3% | 372 | 365 | $35K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.0% | 41 | 40 | $24K |
| 59514 | 4.6% | 40 | 40 | $22K | |
| 99205 | Prolong outpt/office vis | <1% | 30 | 30 | $5K |
| 59025 | Fetal non-stress test | <1% | 168 | 55 | $5K |
| 59430 | <1% | 52 | 49 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 109 | 104 | $3K |
| 81002 | <1% | 749 | 622 | $2K | |
| 90715 | <1% | 24 | 24 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 57 | 56 | $348.27 |
1 more codes
| 90686 | <1% | 15 | $334.08 |
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 officialPFEFFER, JOHN (PRESIDENT)